B-PC CUSD #170
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B-PC Forms

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Forms specific to school building are labeled as such.

Medical & Emergency​

• Dental Examination - Elem/JH
• Emergency Information Form - Elem/JH/HS
• Eye Examination - Elem/JH/HS
• Health History & Food Allergy Form - Elem/JH/HS
• Medical Authorization - Elem/JH/HS
• Physical Examination - Elem/JH/HS
• School Physical Form - Kindergarten, 6th, and 9th
• Immunization Requirements for School Aged Children
• Information Regarding Communicable Diseases from the IDPH
• Student Medication Authorization Form

Attendance, Absences, & Permissions

• Early Release Wednesday After School Supervision Permission Form
• Prearranged Absence Request - Elem/JH/HS
• Adult Student Attendance Policy - HS
• After Prom Consent Form 2017 - HS
• College or Military Visit - HS

Other

• Parent/Student Handbook Sign-Off Form
• Student Information Sheet - Elem
• Volunteer Waiver - Elem
• Application for Free/Reduced Lunch  - Elem
• Application for Free/Reduced Lunch - JH/HS
• Transcript Request - HS

          Transcripts, grades, and/or records will              never be withheld due to outstanding                 fee balances.

• Facilities Usage Form
  Facilities usage is dependent upon availability; please complete both sides of the form; attach proof of insurance; and return to the school building principal for approval. Currently, no fees are being charged.