Documents and Forms
General & Admission Forms
Calendar of Events 2012-2013 - please note that during the school year some events may change or added. Please double check the online calendar as we try to keep that updated as much as is possible. You can also check with Mrs. Horstman in the Dayschoool Office (847) 385-2012
Preschool Application for Admission
Preschool handbook of policies
Kindergarten - 12th Grade Application for Admission
Charger Referral Program & Referral Application Form
Shadow Request Form - this form is for prospective students who would like to visit the campus for a day and spend the day with a current student.
Medical Forms
Copies of these forms can be found outside of the Nurse's Office. Please ask the nurse for care plans. Thank you for your cooperation as we work toward the accreditation that you have requested. In accordance with accreditation requirements, these are the forms that we need to have completed. Please submit them by the dates noted.
Emergency Medical Record - required for all students - DUE WITH BOOK ORDER. Book orders will not be processed without the required Medical Card completed.
Certificate of Child Health Examination - from your Doctor due by the 1st day of school - required for preschool, kindergarten (must be done after the age of 4), sixth (6) grade, and ninth (9) grade students and new incoming students grades PS to 12. ALL students must have this on file and will be required to get one if they do not have the most up-to-date physical exam form on file.
Dental Exam Form - Due by the 1st day of school - required for all senior kindergarten, second (2) grade, and sixth (6) grade students and new incoming students grades K to 12.
Vision Exam Form - (eye exam - 2 pages; on page 2 please write in child's name and date of birth at the top) - due by the 1st day of school, required for all senior kindergarten students and new incoming students grades K to 12.
Medication Administration Authorization Form - due by the 1st day of school - required by all students who require the administration of medication at school either daily or on an as-needed basis (such as inhalers, diabetic medications, EpiPens, etc.) This form must be completed and signed by the licensed physician who prescribes this medication for you. PLEASE CHECK THE SPECIAL HEALTH CARE PLANS BELOW if your child has one of these conditions, download that form and take it with you to the doctor when you go to get the medication form authorized.
Non-prescription Medication Authorization form - for over-the-counter medications that the parent would like given. Please note: only three doses may be given for any one condition and then a doctor's prescription will be required stating the medical condition and the need to continue this medication.
Permission to Carry Medication & Medical Devices - due by the 1st day of school - for any student who will be carrying medication or a medical device during school - requires a doctor's signature.
For all grades 5 to 12 athletes participating in team sports (fall sports will be due during the summer BEFORE starting practice for fall sports teams):
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- IHSA Sports Physical Form
- IHSA Asthma Form - new for any child that must use an inhaler
- IHSA Concussion Form
For grades 6 & 9 athletes: the Certificate of Child Health Examination (above) that your doctor completes must also be completed with immunization information as part of your sports physical exams.
NEW: As part of the Concussion Bill that was signed by Governor Quinn, it is now a requirement for every school to have a signed concussion form on file for every student-athlete competing at their school.
PLEASE NOTE: A religious exemption is not accepted for the sports physical exams for any reason.
If you think your child may participate in a team sport, please take these forms with you to your health care provider when you go for your yearly physical so that they are completed and done.
SPECIAL HEALTH CARE PLANS: Due by the 1st day of school - If your child has one of these conditions and requires nursing care at school, please download the form take it to the doctor for completion.
Allergy (except food allergy)
Diabetic Care Plan & Blood Glucose Testing Care Plan
Nursing Care Plan for other in-school nursing needs not addressed in the care plans above.
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