Wayne Central Middle School

The forms below are available as fillable forms. Click the form link below, then download the PDF to your computer. Open the document from your computer and type your information in the fillable fields. Save the completed PDF to your computer to print or email. A signature will be required when submitting your form.

2025-2026 Building Use Form
2025-2026 Performing Arts Center Use Form
Building Use Regulation

3110F Annual Photo and Media Opt-Out Form
8330F Request for Re-Evaluation of Instructional Materials
FOIL Request Form

Fundraising request forms need to be submitted to the Building Principal or the Athletic Director 1-2 weeks before the fundraising start date.
This will allow sufficient time for requests to be reviewed and approved before the selling and advertising period begins.

The Fundraising Request Form is available as a fillable form. Click the link below, then download the PDF to your computer. Open the document from your computer and type your information in the fillable fields. Save the completed PDF to your computer to print or email. A signature will be required when submitting your form.

Thank you!

25-26 Fundraising Request Form

25-26 Fundraising Event Chart

COBRA general notice
Creditable Coverage Disclosure Notice- annual notice

BLUE POINT 2 _20
BLUE POINT _5
BLUE POINT _15
HDHP HSA FAQ 2025
HDHP PLAN SUMMARY
HDHP- Understanding the plan
HEALTHY BLUE _15
HEALTHY BLUE _25
HEALTHY BLUE _30
HEALTHY BLUE _40
HEARING AIDS SUMMARY OF COVERAGE
Medicare HMO _15 PCP 5 20 35 Rx 2025 SUMMARY
Medicare HMO _20 PCP 7 35 80 Rx 2025 SUMMARY
Medicare PPO _15 PCP 5 20 35 Rx 2025 SUMMARY
Medicare Simply P 2025 10 25 40 Rx SUMMMARY
Medicare Sup B 2025 Summary
Plan Comparison HB _30 HB_40 BPT_20
Plan Comparison HB _15 HB _25 HB _30

2025-2026 SUPERINTENDENT RATE CHART
2025-2026 SALARY SUPPORT RATE CHART
2025-2026 ADMINISTRATORS RATE CHART
CSEA 10 MONTH HIRED AFTER 07-01-2019
CSEA 10 MONTH HIRED PRIOR TO 06-30-2019
CSEA 12 MONTH HIRED AFTER 07-01-2019
CSEA 12 MONTH HIRED PRIOR TO 06-30-2019
CSEA HIRED DURING 2025-2026 SCHOOL YEAR
WTA HIRED DURING 2025-2026 SCHOOL YEAR
WTA 2025-2026

Education Verification Form
Parking Permit
Transcript Request Form 10-2018 _3

To use the fillable form, click the Potassium Iodide (KI) Opt-Out_Refusal Form link below. Download the PDF to your computer. Open the document and type your information in the fillable fields. Save the completed PDF to your computer to print or email. A signature will be required when submitting the form.

Opt-Out_Refusal Form For Potassium Iodide _KI_ Form
Potassium Iodide _KI_ Questions and Answers for Parents