STUDENT FORMS

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READ ABOUT
POWERSCHOOL
More info available in
the first weeks of school

FERPA
view The Family Educational
Rights and Privacy Act

Signing the Acknowledgement of Receipt
for the school handbook signifies that you,
as a parent, haveviewed this document.

READ
DIST #272 INTERNET
ACCEPTABLE USE
POLICY

2012-2013
REGISTRATION FORM


Required for ALL students

one form per family
turn in with payment to
District Ofiice

EMERGENCY INFORMATION AND
HEALTH RECORD FORM


Required for ALL students

one form per student (2 pages)
turn in at individual school

GENERAL AUTHORIZATION FORM
(includes permissions forPictures/Images Internet/Computer Use, and PowerSchool Use

Required for ALL students

one form per student
turn in at individual'school

2012-2013 ENROLLMENT APPLICATION

for those new to the district
and kindergarten students


one form per student
turn in to District Office

RESIDENCY FORM

for those new to the district and
ALL kindergarten students


one form per family
turn in at District Office
(page 1 and 2 are required - pages 3-5 as needed)
This form must be accompanied by three proofs of residency as outlined in the Dist. 272 Policy

PERMISSION FORM TO REQUEST
RECORDS FROM PREVIOUS SCHOOL

for students new to District 272 grades 1-12

student will be entering

GRADES K-4... GRADES 5-8 ...GRADES 9-12

Free and Reduced Lunch guidelines

FREE AND REDUCED
BREAKFAST and LUNCH
PROGRAM APPLICATION


Amboy CUSD #272 participates in the Illinois free lunch and special milk program. If you feel your student qualifies to receive free or reduced price school lunches, please fill this form out and return it to the District Office during registration or to any of the school's offices at any time during the school year

CHILD HEALTH EXAMINATION FORM

All students entering kindergarten, sixtth, or ninth grade, or any student entering an Illinois school for the first time, regardless of grade, must present proof of a health examination and immunizations and sreenings as outlined by the Illinois Department of Public Health

PROOF OF SCHOOL
DENTAL EXAMINATION FORM

OR
DENTAL EXAMINATION WAIVER FORM

All students entering kindergarten, second, and sixth grade must present proof of having been examined by a licensed dentist before May 15 of the current school year in accordance with rules adopted by the Illinois Dept. of Public Health.

SCHOOL MEDICATION FORM
Any student who must self-administer medication of any type at school must have this form on file

AUTHORIZATION FOR THE
ADMINISTRATION OF ASTHMA

OR EPI-PEN MEDICAION

STATE of ILLINOIS EYE
EXAMINATION FORMS
STUDENT ATHLETE PHYSICAL EXAM FORMS

SCHOOL ATHLETE FORM

Students participating in athletic programs must
present a current Certificate of Physical Fitness.

AHS STUDENTS ONLY
Advanced Notice of Absence Form
This form must be filled out prior to student
absence for planned appointments

AHS STUDENTS ONLY
Permission Form to bring Out of School Guest
to and AHS activity or dance

AHS SENIORS ONLY
Record ACT score on AHS Transcript form
Please fill out if you would like your ACT score
to appear on your AHS transcript

AHS WACC STUDENTS ONLY
WACC Permission to Drive Form
This form must be filled by parent and signed by Principal for each date student is allowed to
drive to WACC instead of riding bus

AHS STUDENT TRANSCRIPT REQUEST
including Official and Unofficial
Amboy High School Transcripts

AHS HEALTH RECORDS REQUEST
including immunization records
and birth certificates

AHS SENIORS ONLY - NAME TO APPEAR ON AHS DIPLOMA

AHS STUDENTS ONLY - Agreement to Participate Form for Athletes

Return to Registration Page

Return toDistrict #272 Welcome Page

visit Central Elementary School

visit Amboy Junior High School

visit Amboy High School

The Amboy Community Unit School District 272 web site is for informational purposes only. No one associated with Amboy Community Unit School District 272 assumes any responsibility for its accuracy. The information is subject to change without notice. Please send your questions or comments to Amy Wittenauer, awittenauer@amboy.net.