Forms

Many forms are fillable using Free Adobe Acrobat.
For help with forms, email smurphy@clintonpublic.net

Student Enrollment, Withdrawal, and Residency Forms

Acknowledgement of Withdrawal of 17-year old from School	PS-030
Home Schooling (Notice of Intent)	PS-036
Initial Registration Form	PS-001
Release of Information	PS-003
Release of Information (Spanish)	PS-003S
Residency Verification and Affidavits	PS-019
Residency Verification Affidavit RENEWAL only	PS-019A

Student Health Forms

Authorization for Administering Medicine	H-005
Field Trip Medical Emergency Form	H-008
Health Assessment Record - State of Connecticut	HAR-3
Homebound & Hospitalization Instruction Verified Medical Reason	PS-033
Medical Exemption Certification Statement (CDPH)	State of CT
Release of Health Information	H-033
Religious Exemption from Vaccination (CDPH)	State of CT
Yearly Health Report	H-003

Permission / Denial Forms

Denial of Permission to Release Directory Information	PS-010
Emergency Early Dismissal Information Form (Joel)	PS-004
Field Trip Permission Form	H-008A
Permission to Publish Student Work/Photograph Electronically	PS-009
Notice of Parent Rights	PS-040

Safe School Climate Plan

Student Report of Suspected Bullying Behaviors

PS-027A-1

Miscellaneous

Request for Review of Educational Material

PS-043

Clinton PublicSchools