Annual Acknowledgement of Forms

Dear Parents and Guardians:

In an effort to try and conserve paper, we have posted the following on the District Website at: www.millbrookcsd.org 
(District Link – Families – Parent/Guardians- Parent & Guardian Annual Notices) for your review:

District Information (on the District website)

  1. Accident & Medical Insurance Information

  2. BOE Policy #0110.1 Sexual Harassment Policy for Students

  3. BOE Policy #0115 Student Harassment and Bullying Prevention & Intervention

  4. BOE Policy #5020.3 Disability Discrimination Policy

  5. Bus Accident Letter & Procedures

  6. Bus Transportation Information – Elementary

  7. Concussion Information

  8. District Field Trip Permission & Medical Information Form 

  9. District Code of Conduct (Policy #5300 & 5300-E)

  10. FERPA Information (requires action if applicable)

  11. Community Eligibility Provision (Recommended) 

  12. Disposición de Elegibilidad Comunitaria (Spanish versions) (Recomendada/o)

  13. Health Information Letter 

  14. Health Information-New York State School Health Examination Form (required action if applicable)

  15. Health Information-Student In-School Medication Form (required action if applicable)

  16. Pesticide Information & Optional 48-Hour Notification Form (optional action)

  17. School Closing-Delay-Early Dismissal Information

  18. Student Opt-Out Form (required action if applicable)

  19. Technology-Policy #4526 Acceptable Use Policy

  20. Technology-Policy #4526-1 Internet Safety Policy

  21. Technology-Policy #4526E User Agreement Signature Form (required action)

  22. Technology-Policy #4526R Acceptable Use Policy Regulation

  23. Transportation Letter

Please complete this form for each of your children attending Millbrook Central School District.
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Child's FIRST Name *
Child's LAST Name (if different than your last name)
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I acknowledge that by typing my full name below, I have been provided with the opportunity to review the forms listed above. If necessary, I have printed out the forms needed and will submit them to my child's main office no later than September 12, 2025. I understand by signing this form I agree to receive communications from the District and time-sensitive official notifications (including but not limited to student disciplinary letters, special education letters, etc.) via email followed by a hard copy of such notices.
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