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Cape Henlopen School District

Cape Henlopen School District

  • Our District
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    • 2020/21 Calendar
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    • Cape Henlopen High School
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  • Departments
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  • Board of Education
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  • Families
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  • COVID-19
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Parent Resources & Forms

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  • Cape Henlopen School District
  • School Nurse Forms & Information
  • Forms & Resources

School Nurse Forms

  • 2020-21 DE Sports Physical Form Packet

    2020-21 DE Sports Physical Form Packet

    DIAA 2020-21 Preparticipation Physical Form Packet final rv 7-16-20.pdf 1.95 MB (Last Modified on August 5, 2020)
    Comments (-1)
  • PreK-Grade 6 DE Student Health Form

    PreK-Grade 6 DE Student Health Form

    DEStudentHealthFormChildrenNovember2016.pdf 454.19 KB (Last Modified on August 5, 2020)
    Comments (-1)
  • Grades 7-12 DE Student Health Form

    Grades 7-12 DE Student Health Form

    DEStudentHealthFormAdolescentNovember2016.pdf 352.49 KB (Last Modified on August 5, 2020)
    Comments (-1)
  • Allergy Action Plan

    Allergy Action Plan

    ALLERGY_ACTION_PLAN.pdf 92.16 KB (Last Modified on August 5, 2020)
    Comments (-1)
  • Asthma Action Plan - English

    Asthma Action Plan - English

    asthma-action-plan.pdf 101.3 KB (Last Modified on August 5, 2020)
    Comments (-1)
  • Asthma Action Plan - Spanish

    Asthma Action Plan - Spanish

    asthma-action-plan-spanish.pdf 211.53 KB (Last Modified on August 5, 2020)
    Comments (-1)
  • Field Trip Emergency Treatment Card

    Field Trip Emergency Treatment Card

    Field_Trip_Emergency_Treatment_Card.PDF 47.22 KB (Last Modified on August 5, 2020)
    Comments (-1)
  • Medication Permission  - Spanish

    Medication Permission - Spanish

    2020-2021 Medication Permission Slip with Field Trip Option_Spanish_interactive.pdf 684.56 KB (Last Modified on August 5, 2020)
    Comments (-1)
  • Medication Permission - English

    Medication Permission - English

    2020-2021 Medication Permission Slip with Field Trip Option_English_Interactive.pdf 679.46 KB (Last Modified on August 5, 2020)
    Comments (-1)
  • Food Allergy Prevention

    Food Allergy Prevention

    Food Allergy Prevention and Emergency Response for Students with Allergies.pdf 181.53 KB (Last Modified on August 5, 2020)
    Comments (-1)
more
 

School Nurse Resources

  • CHSD Student Accident Application

    CHSD Student Accident Application

    Cape Henlopen School District App 2020.pdf 277.12 KB (Last Modified on August 5, 2020)
    Comments (-1)
  • Head Lice 101

    Head Lice 101

    Head_Lice_101.pdf 5.08 MB (Last Modified on August 5, 2020)
    Comments (-1)
  • Medication Drop-Off Sites

    Medication Drop-Off Sites

    Delaware updated drop off sites for medications.pdf 1.22 MB (Last Modified on August 5, 2020)
    Comments (-1)
  • Student Voluntary Insurance Brochure

    Student Voluntary Insurance Brochure

    AG_Voluntary Insurance Delaware.pdf 813.13 KB (Last Modified on August 5, 2020)
    Comments (-1)

1270 Kings Highway, Lewes, DE 19958

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p: 302-645-6686

f: 302-645-6684

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p: 302-645-6686

f: 302-645-6684

The Cape Henlopen School District is an equal opportunity employer and does not discriminate on the basis of race, color, creed, religion, gender (including pregnancy, childbirth and related medical conditions), national origin, citizenship or ancestry, age, disability, marital status, veteran status, genetic information, sexual orientation, or gender identity, against victims of domestic violence, sexual offenses, or stalking, or upon any other categories protected by federal, state, or local law. Ned Gladfelter, Employee/Student Compliance Officer: OCR/Title IX/504 Office of Human Resources; LouAnn Hudson, Student 504 Compliance Officer, 1270 Kings Highway, Lewes, DE 19958. Delaware Department of Justice Ombudsperson, Joe Flynn 1-800-220-5414
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