Student Forms

All forms are in PDF format

  1. Classroom Fees Notice
  2. Emergency Medical Authorization
  3. Authorization to Release Student
  4. Authorization for the Administration of Medication
  5. Authorization for the Administration of Asthma Inhaler(s)
  6. Consent to Photograph or Video Record for Use in Media
  7. Consent to Photograph or Video Record for Instructional Purposes
  8. Statement of Income Level
  9. Residency Affidavit
  10. Parent Directory Submission

If you are looking for a particular form and it is not listed here,
please contact the school office at 419-897-4400 for further assistance.

To view and print the Student Application, please visit the “Admission” page:
http://www.autismmodelschool.com/parents/admission/