school forms & policies

School Forms

Required school forms are mailed home to parents in May/June of each year. 

Our School Forms Packet includes the following:
•  School calendar
•  Health, medication, and dental forms
•  After-school program forms
•  Parents’ Association membership and volunteer form

School Forms Packet [PDF]

Please remember to inform the school of any changes to your contact information including your address, telephone numbers, and email addresses. Call the school office directly to make these changes. Additionally, remember to update your K12 Alerts account with any changes.

ONLINE DIGITAL Forms

For the 2019-20 school year, new online digital school forms were introduced for the following:

Lower School Swim Questionnaire
[This form must be completed for all new students to the Lower School.]

Upper School Lunch Permission Form
[This form must be completed for all students attending Summit's Upper School.]

Summit Release Form
[This form must be completed for all students attending The Summit School.]

HEALTH & DENTAL Forms

Prior to the beginning of each school year, parents must submit the required health/medical forms for their children: Health Examination Form, Medication Form, Occupational Therapy Prescription Form, and Dental Health Form. All health forms are sent home to parents in our annual information packet in May/June of each year. However, these are also available online (see below for downloads).

Please do not hesitate to contact our school nurse with any questions or concerns. We look forward to a happy and healthy school year.

All health, medication, and dental forms must be returned to:

Lucy Ware, RN
School Nurse
Telephone 718-264-2931 x217
Email lware@summitqueens.com

Health Examination Form
•  Required for new admissions and before entering grades 3, 5, 7, 9, and 11
•  Required annually for students who participate in team sports
•  Must be signed by a physician
Health Examination Form [PDF] 

Medication Form
•  Must be completed each school year and signed by a physician
•  Prescribed medication must be sent to school in the original pharmacy bottle with signed prescription
Medication Form [PDF] 

Dental Health Certificate
•  Required for new admissions and before entering grades 3, 5, 7, 9, and 11
Dental Health Form [PDF]

Occupational Therapy Prescription Form
•  For students mandated for occupational therapy services: Must be completed each school year and signed by a physician
Occupational Therapy Prescription Form [PDF]

Seasonal Flu Information

NYS Department of Health’s Seasonal Flu Guide for Parents [PDF]
Visit the Center for Disease Control and Prevention Seasonal Influenza website for more information

School Policies

The Summit School is committed to providing a positive, safe, supportive, and orderly school environment that promotes respect, dignity, and equality among its students, and in which students receive a quality education without undue disruption or interference. We set high standards for academic achievement and appropriate behavior. Our expectations for acceptable conduct are based on the principles of civility, mutual respect, citizenship, character, tolerance, honesty, and integrity.

We encourage parents and students to be familiar with Summit’s school policies.

Code of Conduct [PDF]
Harassment and Bullying Policy [PDF] 
Acceptable Use Policy for Computer Use and Internet Access [PDF]