skip to main content

2021-2022 Ben Hulse Registration
Top of Page

Ben Hulse 2021-2022 New Student Enrollment

Physical Form - Report of Health Examination & Shots
Top of Page

Physical Form
The Physical must take place within 6months of the 1st day of school. If your child's physical is not due until after school starts, please come to the office with proof of appointment and sign a waiver.

Dental Form - click on picture to download form
Top of Page

Dental Form/Oral Assessment
Dental exam must take place within 1 yr of the 1st day of school, and must be CA licensed dentist. 

Examen físico: informe de exámenes médicos y vacunas
Top of Page

Physical Form
El examen físico debe realizarse dentro de los 6 meses posteriores al primer día de clases. Si el examen físico de su hijo no se debe hasta después de que comiencen las clases, por favor venga a la oficina con un comprobante de la cita y firme una renuncia.

Descargar forma de Dentista -haga clic en la imagen para descargar el formulario
Top of Page

Dental Form/Oral Assessment
El examen dental debe realizarse dentro de 1 año del primer día de clases y debe ser un dentista con licencia de CA.

Are you a student, parent, or community member? Keep in touch with us: