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Forms and Publications 
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PUBLICATIONS
Fillmore Connections
This is a monthly
publication of the Millard Fillmore Elementary School, Moravia Central School District,
Moravia, NY. It provides important information about the activities of our students and
staff.

FORMS
Miscellaneous Forms 
Print each form
as needed, complete and return to the address shown on the form or to the school office.
Pesticide Notification to Persons in Parental
Relation and Staff
This form is required by law to notify students, staff, and those in parental relationship
to students of pesticide applications. The Moravia Central School District does not
perform any non-exempt applications. We are still required to provide this notification.
Building Use Request
This is the form to be used by outside groups who wish to make use of school district
grounds and facilities. Please read the accompanying Board of Education policy prior to
submitting this request.

Elementary School Forms 
Print each form
as needed, complete and return to the elementary to the school office.
Emergency Closing Form
Use this form to let the school know where your child is to go in case of an early school
closing
Emergency Information Form
From time to time emergencies arise, and School personnel must locate a parent of a child,
or another adult, that can care for the child. This form will provide us with the contact
information for these situations.
Transportation Form
The completion of this form will enable us to locate your child and plan our bus routes.
This form should be completed for all new students and when your child pick-up or drop-off
information changes.
Student Information Form
This form assist the elementary staff in the placement of your child each year. The forms
allows the parent to provide input into their child's specific personality and needs.
Free and Reduced Lunch Application
This is the federal form required for the district to approve students for participation
in the free and reduced lunch program.
Building Use Request
This is the form to be used by outside groups who wish to make use of school district
grounds and facilities. Please read the accompanying Board of Education policy prior to
submitting this request.

Middle/High School Forms 
Print each form
as needed, complete and return to the elementary to the school office.
Emergency Information Form
From time to time emergencies arise, and School personnel must locate a parent of a child,
or another adult, that can care for the child. This form will provide us with the contact
information for these situations.
Free and Reduced Lunch Application
This is the federal form required for the district to approve students for participation
in the free and reduced lunch program.
Building Use Request
This is the form to be used by outside groups who wish to make use of school district
grounds and facilities. Please read the accompanying Board of Education policy prior to
submitting this request.

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