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Pleasantville Elementary
300 W. Columbus Street
Pleasantville, OH 43148
Phone: 740-468-2181
Fax: 740-468-3539

ADA Disclaimer

Each form is listed twice.  The first is in PDF format.  The second is an RTF file which is required for compliance with the Americans with Disabilities Act.

Pleasantville Elementary Forms

2024-2025 Free and Reduced-Price School Meals Application

All enrolled students of Fairfield Union Local Schools are eligible to receive a healthy breakfast and lunch at school at no charge to your household each day of the 2024-2025 school year. No further action is required of you. Your child(ren) will be able to participate in these meal programs without having to pay a fee or submit a Free and Reduced Meal Application. However, to secure Federal Title funds for educational programs across the District, it is critical for the District to collect as many Free and Reduced Meal Applications as possible.
We are asking all parents to complete the Free and Reduced Meal Application that is available in your PaySchools account. The direct link to the PaySchools (lunch account) system is:  PaySchools Central LogIn Page.  
We appreciate your willingness to complete the Free and Reduced Meal Application through PaySchools.  However, if you would prefer to complete a hard copy of the application, please download the application from this link: Free and Reduced Meal Application 2024-2025.pdf or contact your child(ren)’s school for a copy of the application. 

Questions regarding our Food Service program should be directed to the Food Service Director, Diana Browning, at the District Office.  You can also email Mrs. Browning at [email protected].
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Dispensing Medication Forms

These forms apply to students in PS through 12th grade.
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Ohio School Health Physicians Report

(Required physical form for entry into Kindergarten)
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