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Info Center
Forms & Downloads

Forms & Downloads

QB Booster Club Forms

2012 Kick-off Dinner/Auction Form
2012 Check List Form
2012 Booster Registration Form
2012 Spirit Room Form
2012 Pay to Participate Form
2012 Coffman Football Awards Night Form
 
2012 Golf Outing Form
2012 Irish Festival Registrant Instruction

Medication Forms

Ohio HS Athletic Assoc. Physical Form
5330 F4 (HS/MS) Request for Student to Self-Administer Nonprescription Medication-English
5330 F5 (ES) Request for School Personnel to Administer Nonprescription Medication-English
5330 F1 Request for Administration of Prescription Medication by School Personnel-English

Allergy Forms

5335 F1 Parent/Guardian Information on Child's Life-Threatening Allergy
5340 F4 Parent/Guardian Information on Child's Life-Threatening Allergy

Inhaler Form

5330 F2 Request for Student to Carry and Administer Own Prescription Medication by Inhaler-English


Diabetic Care forms

5330 I F1 Request for Admin. of Insulin via Dial Up Pen by Sch. Pers. or Independently by Student
5330 I P2 Insulin Pump Therapy for Student's Independent Performance
5330 I F2 Request for Student to Self-Administer Prescription Insulin via an Insulin Pump
5330A G F1 Request for Administration of Glucagon Injection by School Personnel

Other Forms


5330A D F1 Request for Administration of Diastat by School Personnel

5310 F1 Student Health History Form-English
 
5320 F1 Immunization Requirements
5320 F2 Immunization Exemption
5320 F4 Parent Varicella (Chicken Pox) Report Form

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Dublin Coffman Shamrocks6780 Coffman Rd
Dublin OH 43017-1027
Phone: 614-764-5900A.D.: Tony PusateriPrincipal: Mike UlringCoach: Mark CrabtreeVisit Website
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