Clinton Public Schools

Below are forms district families may be asked to complete.  Where shown, forms have been machine-translated to Spanish and Portuguese. If you need a form that you do not see or have difficulty working with any of the forms on this list, please contact [email protected].

STUDENT ENROLLMENT, WITHDRAWAL, AND RESIDENCY
FORM NAME	FORM NUMBER
Initial Registration Form	PS001
Spanish        Portuguese
Notice of Intent:  Instructions of Student at Home	PS036
Spanish        Portuguese
Release of Information	PS003
Spanish        Portuguese
Residence Verification Affidavit	PS019
Spanish        Portuguese
Homeless Children and Youth: Student Residency Affidavit (parent/guardian)	PS059A
Spanish        Portuguese
Homeless Children and Youth:  Affidavit for Missing Documenation (parent/guardian)	PS059A-1
Spanish        Portuguese
Homeless Children and Youth:  Student Residency Affidavit (unaccompanied youth)	PSO59B
Spanish        Portuguese
Homeless Children and Youth:  Affidavit for Missing Documentation (unaccompanied youth)	PS059B-1
Spanish        Portuguese
Withdrawal Form (Eliot and Joel)	PS007A
Spanish        Portuguese
Withdrawl Form (Morgan)	PS007B
Spanish        Portuguese
Withdrawal of 17-year old from School	PS030
Spanish        Portuguese

STUDENT HEALTH FORMS
FORM NAME	FORM NUMBER
Authorization for Administering Medicine	H005
Spanish        Portuguese
Early Childhood Health Assessment Record (State of CT)
Spanish        Portuguese
Field Trip Emergency Medical Form	H008
Spanish        Portuguese
Health Assessment Record (State of CT)	HAR3
Spanish        Portuguese
Homebound and Hospitalization Instructions	PS033
Spanish        Portuguese
Refusal to Permit Administration of Epinephrine for Emergency First Aid	PS060
Spanish        Portuguese
Refusal to Permit Administration of Opioid Antagonists for Emergency First Aid	PS064
Spanish        Portuguese
Release of Health Information	H033
Spanish        Portuguese
Written Authorization for the Posession and Application of Sunscreen in School	PS061
Spanish        Portuguese

PERMISSION / DENIAL FORMS
FORM NAME	FORM NUMBER
Denial of Permission to Release Directory Information	PS010
Spanish        Portuguese
Emergency Early Dismissal Information (Joel)	PS004
Spanish        Portuguese
Handbook-Photo-Media Access Acknowledgement (Eliot)	PS009A
Spanish        Portuguese
Permission to Publish Student Work/Photograph Electronically	PS009
Spanish        Portuguese
Notice of Parent Rights	PS040
Spanish        Portuguese

MISCELLANEOUS FORMS
FORM NAME	FORM NUMBER
Request for Review of Educational Material	PS043
Spanish        Portuguese

Creating a Safe, Supportive, and Inclusive School Climate