Important Forms Due 9/12

To prepare for the 2020-21 academic year, please see and complete the attached forms. These must be turned into me by September 12, 2020. To submit these forms you have the following options:

1: Download the Student Health & School Forms Booklet to your computer, fill them out electronically, and send them to me via email at amaranda-mendoza@cps.edu or ejchandler@cps.edu

2: Print the forms, fill them out, and mail them to the following address:
South Loop Elementary School
1601 South Dearborn
Chicago, Illinois 606016

3: Print the forms, fill them out and drop them off at South Loop School

4: You may pick up a packet of the forms at South Loop Primary or Middle School buildings. If you prefer a packet of the forms, please call the main office at 773-534-4664.


ALL PARENTS MUST COMPLETE FOR 2020-2021 SCHOOL YEAR
☑️ Family Income Information Form (page 27-28 or Download)
☑️ Student Medical Information 2020-2021 (page 5)
☑️ Request for Emergency and Health Information (page 21)
☑️ School Messaging Consent Form (Robo Call) (page 23 or Download)
☑️ Media Consent Form and Release (page 25 or Download)

PARENTS MUST COMPLETE IF YOU WANT DENTAL AND/OR VISIONSERVICES FOR STUDENTS
☑️ Dental Consent Form (Download)
☑️ Vision Consent Form (Page 9 & 10)

DOCTOR MUST COMPLETE THE FORMS AND PARENT MUST RETURN
TO SCHOOL CLERK
(ALL New Students & Check Minimum health requirement on page 4 of Student Health & School Forms Booklet)

☑️ State of Illinois Certificate of Child Health Examination (Download)
☑️ Proof of Dental Examination Form – For students that have private dentist (page 11)
☑️ Vision Examination Report – For students that have a private eye doctor (Page 12)
☑️ Asthma Action Plan – Students with asthma, see school clerk or nurse (Page 15)
☑️ Healthcare Provider Statement for Food Substitution – For students with food allergies, see the school clerk or nurse (Page 17)

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