School Forms

Fee Waiver Applications

Fee Waiver Application K-6 (English)

Fee Waiver Application K-6 (Spanish)

Fee Waiver Application 7-12 (English)

Fee Waiver Application 7-12 (Spanish)

Health Forms

Authorization to Administer Medication at School– Permission slip for the school nurse to give prescription or over-the-counter medication to a student at school.

Asthma Action Care Plan 

Allergy Action Care Plan – If your student has allergies that could affect them at school, this form needs to be filled out in conjunction with the school nurse.

Providence Hall Charter School Vision Screening Opt-Out Form 2018-2019

Field Trip Permission Slip

PH Field Trip Permission Form

Educational Leave Form

Educational Leave Form – Pre-approved educational leave is considered a legitimate absence. A student may be allowed up to a maximum of ten (10) days for educational/vacation leave if prior arrangements have been made with the school for the student to make up his/her homework.

Providence Hall Elementary

4795 West Patriot Ridge Drive
Herriman, UT 84096
p: (801) 727-8260 f: (801) 727-8282

Providence Hall Junior High

4558 West Patriot Ridge Drive
Herriman, UT 84096
p: (801) 727-8260 f: (801)-432-8496

Providence Hall High School

4557 West Patriot Ridge Drive
Herriman, UT 84096
p: (801) 727-8260 f: (801) 253-4997