Yinghua Academy Student Health Form 2023-24

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Please fill out one form per child attending Yinghua Academy during the 2023-24 school year. Health information is important in planning for your child’s needs at school and will be shared only with necessary staff members.

Email *

Student's Last Name *

Student's First Name *

Grade Level for 2023-24 School Year: *

Kindergarten

First Grade

Second Grade

Third Grade

Fourth Grade

Fifth Grade

Sixth Grade

Seventh Grade

Eighth Grade

Choose which BEST describes your child: *

Returning student that does not need medications at school AND does not have any new health updates since last school year.

Returning student with health updates (with or without medications kept at school).

Returning student with medications at school (but no new health updates)

New students (kindergarten students and transfers).

Clear form

Never submit passwords through Google Forms.

This form was created inside of Yinghua Academy. Report Abuse

Forms