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Student Forms

Registration Fee Waiver Applications may be faxed to 847-856-0311, emailed to jcox@dist50.net, dropped off at the Educational Support Center or at the school buildings. Fee Waiver applications will be available later this summer.

Registration

Registration Fee Waiver Application - Spanish 22-23

FY23 Fee Waiver App Spanish.pdf 146.94 KB (Last Modified on July 19, 2022)

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Registration Fee Waiver Application - English 22-23

FY23 Fee Waiver App English.pdf 231.91 KB (Last Modified on July 19, 2022)

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Registration Fee Payment Form Eng-Span 22-23

Fee Pymnt Form English-Spanish FY23.pdf 306.58 KB (Last Modified on July 19, 2022)

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Guardianship Affidavit - English

GuardianENG.pdf 61.08 KB (Last Modified on April 6, 2021)

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Guardianship Affidavit - Spanish

Guardiansp.pdf 90.49 KB (Last Modified on April 6, 2021)

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Lieu of Lease - English

Lieu of Lease eng.pdf 73.54 KB (Last Modified on April 6, 2021)

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Lieu of Lease - Spanish

Lieu of LeaseSP.pdf 72.44 KB (Last Modified on April 6, 2021)

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Registration Fee Form 2021-2022 English

FY22_Fee_Pymnt_Form_English.pdf 74.53 KB (Last Modified on March 31, 2022)

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Registration Fee Form 2021-2022 Spanish

FY22_Fee_Pymnt_Form_Spanish.pdf 65.33 KB (Last Modified on March 31, 2022)

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Residency Affidavit (English)

Resident Affidavit 2022-23.pdf 37.6 KB (Last Modified on March 17, 2022)

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Residency Affidavit (Spanish)

RES AFFIDAVIT SPANISH 22-23.pdf 39.02 KB (Last Modified on March 17, 2022)

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Student Image Opt-Out and Permission Form

Permission Questions FY19.pdf 70.71 KB (Last Modified on February 15, 2019)

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Student Image Opt-Out and Permission Form (Spanish)

Permission Questions Espanol.pdf 83.66 KB (Last Modified on February 15, 2019)

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Student Withdrawal Form (English)

STUDENT WITHDRAWL FORM ENG.pdf 14.49 KB (Last Modified on September 21, 2018)

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Student Withdrawal Form (Spanish)

STUDENT WITHDRAWAL SPA.pdf 13.89 KB (Last Modified on September 21, 2018)

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Health

Asthma Action Plan

Asthma Action Plan 2017-2018.pdf 114.96 KB (Last Modified on September 8, 2017)

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Authorization to Release/Exchange Student Record Information English/Spanish

Exchange_of_Info_Release_EngSpan.pdf 133.48 KB (Last Modified on September 24, 2019)

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Concussion Information

IESAConcussion.pdf 150.62 KB (Last Modified on November 12, 2019)

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Concussion Management Protocol

Concussion.pdf 1.54 MB (Last Modified on January 11, 2022)

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Dental Examination Form- English

Dental Exam Form_New .pdf 199.11 KB (Last Modified on May 18, 2021)

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Dental Examination Form- Spanish

Dental Examination Form_Spanish.pdf 150.97 KB (Last Modified on May 1, 2020)

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Dental Examination Waiver Form-English

Dental Examination Waiver Form_English.pdf 138.84 KB (Last Modified on May 1, 2020)

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Dental Examination Waiver Form-Spanish

Dental Examination Waiver Form_Spanish.pdf 171.42 KB (Last Modified on May 1, 2020)

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Eye Examination Report- English

Eye Examination Report_English.pdf 178.4 KB (Last Modified on May 1, 2020)

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Eye Examination Waiver- English

Eye Examination Waiver_English.pdf 114.79 KB (Last Modified on May 1, 2020)

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Food Allergy and Anaphylaxis Emergency Care Plan- English

Food Allergy and Anaphylaxis Emergency Care Plan_English.pdf 3.06 MB (Last Modified on May 1, 2020)

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Food Substitution Form

Food Substitute Request_Physician Statement.pdf 151.07 KB (Last Modified on April 29, 2021)

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Illinois State Health Requirements- English/Spanish

Illinois Requirements Letter19-20.pdf 429.37 KB (Last Modified on May 30, 2019)

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Medication Authorization Form English/Spanish

MED AUTH FORM English-Spanish .pdf 70.65 KB (Last Modified on August 8, 2019)

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Physical or Certificate of Child Health Examination-English

Physical or Certificate of Child Health Examination_English.pdf 744.08 KB (Last Modified on May 1, 2020)

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Physical or Certificate of Child Health Examination-Spanish

Physical or Certificate of Child Health Examination_Spanish.pdf 370.2 KB (Last Modified on May 1, 2020)

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Religious Exemption for Immunizations

Religious Exemption for Immunizations_English.pdf 86.01 KB (Last Modified on May 1, 2020)

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Meals

Application for Free or Reduced Meals - Spanish 22-23

Application Free - Reduced Meals Spanish.pdf 1.07 MB (Last Modified on July 19, 2022)

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Application for Free or Reduced Meals - English 22-23

Application Free - Reduced Meals English.pdf 959.15 KB (Last Modified on July 19, 2022)

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Food Service Payment / Restriction Form Spanish

FS Payment - Restriction Form Spanish.pdf 14.29 KB (Last Modified on July 19, 2019)

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Food Service Payment / Restriction Form English

FS Payment - Restriction Form English.pdf 13.65 KB (Last Modified on July 19, 2019)

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Permission Forms

Permission to Walk to Warren Twp. Teen Center English / Spanish

2022-23 Permission to Walk-Ride - Spanish and English.pdf 24.79 KB (Last Modified on July 16, 2022)

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Transportation

Revised Bus Form

Click here to access the Revised Bus Form

(Last Modified about a minute ago)

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Bus Information 22-23

22-23 BUS SHEET.pdf 539.06 KB (Last Modified on July 26, 2022)

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Informacion Del Autobus 22-23

22-23 BUS SHEET-Spanish.pdf 530.2 KB (Last Modified on July 26, 2022)

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Special Education Transportation 22-23

22-23 SPED BUS SHEET.pdf 508.55 KB (Last Modified on July 26, 2022)

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INFORMACIÓN ESPECIAL DE TRANSPORTE 22-23

22-23 SPED SPANISH BUS SHEET.pdf 605.32 KB (Last Modified on July 26, 2022)

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Kindergarten Drop Off Permission

kdropoffletter.pdf 91.56 KB (Last Modified on September 20, 2017)

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Kindergarten Drop off Permission - (Español)

kdropoffspanish.pdf 95.38 KB (Last Modified on September 20, 2017)

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