Registration

English

Spanish

English

Spanish

English

Spanish

The designated building-level registration contacts are:

• Center Grove: Jennifer Hess (Sept-June: jhess@rtnj.org); Cindy Draper (cdraper@rtnj.org)
• Fernbrook: Toni Branch (tbranch@rtnj.org)
• Ironia: Lisa Olsen (lolsen@rtnj.org)
• Shongum: Stephanie Tohme (stohme@rtnj.org)
• Randolph Middle School: Lori Cortez (Sept-June: lcortez@rtnj.org); Christanthy Potamianos (cpotamianos@rtnj.org) 
• Randolph High School: Tara Leonard (tleonard@rtnj.org)
• Preschool: Gina Luciano (gluciano@rtnj.org)

English 

Spanish

English 

Spanish

English 

Spanish

English 

Spanish

english

Spanish

This packet needs to be completed by the parent/guardian and physician each school year and kept on file in the nurse's office for any student with a life-threatening anaphylactic allergy requiring the possible use of an EpiPen or Auvi-Q.

Anaphylaxis Form

This packet needs to be completed by the parent/guardian and physician each school year and kept on file in the nurse's office for any student with asthma.

Asthma Action Plan

This form is completed by the parent/guardian and the physician for any student with diabetes. It needs to be updated each school year and is kept on file in the nurse's office. 

Diabetes Health Care Plan

This form is completed by the parent/guardian and the physician for any student with migraine headaches. It needs to be updated each school year and is kept on file in the nurse's office. 

Migraine Health Care Plan

This form is completed each school year by the parent/guardian and the physician for any student with a history of convulsive disorders and is kept on file in the nurse's office.

Seizure Health Care Form

This form is kept on file in the nurse's office each school year for any medications that need to be taken while at school or during a field trip or school-sponsored event/activity. This form is also required for any over-the-counter medications that you would like your child to have access to during the school day or during a field trip or school-sponsored event/activity, such as Advil or Tylenol.

Medication Parent Authorization

This form is kept on file in the nurse's office each school year for any life-saving medications that need to be self-administered while at school or during a field trip or school-sponsored event/activity for asthma or other potentially life-threatening illnesses, a life-threatening allergic reaction, or adrenal insufficiency. The form does not apply to Advil, Tylenol, Tums, etc.

Self-Administering Medication

The nurse's office can complete the required vision screening for a Driver's Education application. 

Information

This updated sports physical packet needs to be completed once per year for student athletes. Please complete the first 3 pages and take the entire packet to your healthcare provider. They will complete pages 4 and 5. You need to submit the Preparticipation Physical Evaluation Medical Eligibility Form to the Randolph High School Nurse's Office.  

Sports Physical Form

Yes, the district will not accept registration in other formats. This is consistent with processes and procedures in many other school districts.

Families that do not have a device or internet access to complete the entire registration can contact  their school buildings as needed.

All required documentation, including medical information, will be collected on the online portal.

Yes, the information on the portal is completely secure. The online portal is operated through Genesis, the district’s student information system. Access to records is limited to only a small number of district employees. The system secures all district student information.

No, this is not necessary.