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This page is under development. Additional forms and publications will be posted as they become available.


Annual Notices

Athletic Forms & Publications

The following forms are distributed in the schools before each athletic season.  You may also download the forms here and submit them to the athletic director or team coach. These athletic forms must be completed and returned to the Athletic department before any student can participate on a Mifflin sports team:

Effective July 1, 2012, the Pennsylvania General Assembly passed Act 82 Article XVI-C, the Disclosure of Interscholastic Athletic Opportunities in secondary schools (7-12 grades). Click below to download Governor Mifflin's Final 2012-2013 Disclosure Form for Interscholastic Athletic Opportunities: 

Excused Absences

Free & Reduced School Meals

Guidance Forms & Publications

Health Forms

The following health forms may be completed and returned to the Nurse or Food Services department if necessary: 

High School Yearbook Order Forms

Insurance Forms

Membership Forms

The following membership forms may be completed and returned to the appropriate school building or chairperson:

  • 2012-2013 Governor Mifflin Music Association membership order form coming soon!


Non-Participation Consent Form

The following opt-out form must be submitted to the student's school principal.

Right-To-Know Documents

The following guidelines include links to important information about Pennsylvania's new Right-To-Know law. You may also download our Right-To-Know parent request form.

Tax Rebate Form

Volunteer Clearances

To ensure the safety of our students and to follow proper procedures and regulations necessary to make our volunteer program effective, all volunteers are required to obtain state clearances. The following guidelines include links to Criminal Background Check forms and Child Abuse Clearances.

Waiver Request Forms

In cases of financial hardship, parents of students in Grades 7-12 may request a waiver for the Student Activity Fee or Course Material Fee. Consideration will be given on a case-by-case basis. Please download the following forms and submit them to your child's school principal.



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