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Pope John XXIII Forms

Extended Care Registration Form

A registration form must be completed for students who will be attending Pope John XXIII Elementary’s after school program.

Request to Administer Prescription/Non-Prescription Medications

Whenever prescription or non-prescription medication is to be taken at school, this form must be completed and signed.

Prescription Medication must be sent in the original pharmaceutically-dispensed and labeled container with instructions for administration.

Non-Prescription Medication must be provided in the original, sealed bottle purchased from the store.  Open bottles/loose pills are not acceptable.

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Student Information Form

An Information form is to be completed for all students who attend Pope John XXIII Elementary.  This form contains information that will be entered into our current data base.

Preschool Student Information Form

An information form is to be completed for all students who attend Pope John XXIII Elementary.  This form contains information that will be entered into our current data base.

Prince of Peace Catholic Schools prepare students to lead meaningful lives by combining rigorous academics with opportunities for exploration and reflection.

LEARN MORE ABOUT OUR SCHOOLS >

Prince of Peace Catholic Schools are one of the area's leading Catholic Schools.

Pope John XXIII Elementary

221 West State Street

Madison, Indiana 47250

812-273-3957

Shawe Memorial Jr./Sr. High School

201 West State Street

Madison, Indiana 47250

812-273-2150

Administration and Parish Office

305 West State Street

Madison, Indiana 47250

812-273-5835

Prince of Peace Catholic Schools -  305 West State Street, Madison, Indiana 47250

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