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Accidental Insurance Form for Students

Accidental Insurance Form for Students read more

Athletic Physical Forms

Need Both Forms

Physical Form Parent Consent Form read more

Activity Make-Up Form

Activity Make-Up Form read more

Student Signature Page

  A high school student who does not have a signature page on file in the office will not be eligible to participate in or attend school activities (this includes both practices and performances) until such time the Signature Page . . . read more

Activities Permission Form

June 26, 2007

Permission Form :  assignment sheet with the option of parent signature if needed read more

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Ponca School 505 3rd Street Ponca, NE  68770

402.755.5700 Fax: 402.755.5773

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This institution is an equal opportunity provider.


The Ponca Public School District does not discriminate on the basis of sex, disability, race, color, religion, veteran status, national or ethnic origin, age, marital status, pregnancy, childbirth or related medical condition, or other protected status in its programs and activities and provides equal access to the Boy Scouts and other designated youth groups. The following persons have been designated to handle inquiries regarding the non-discrimination policies:

Students: Mr. Jody Phillips, Superintendent of Schools, PO Box 568, Ponca, NE 68770 (402) 755-5700 (jodyphillips@poncaschool.org).

Employees and Others: Mr. Jody Phillips, Superintendent of Schools, PO Box 568, Ponca, NE 68770 (402) 755-5700 (jodyphillips@poncaschool.org).

Complaints or concerns involving discrimination or needs for accommodation or access should be addressed to the appropriate Coordinator. For further information about anti-discrimination laws and regulations, or to file a complaint of discrimination with the Office for Civil Rights in the U.S. Department of Education (OCR), please contact OCR at One Petticoat Lane, 1010 Walnut Street, 3rd Floor, Suite 320, Kansas City, Missouri  64106, (816) 268-0550 (voice), Fax (816) 268-0599, (800) 877-8339 (telecommunications device for the deaf), or ocr.kansascity@ed.gov.