Forms - Clinton Public Schools

Skip navigation

Select a School
Language

Forms

Student Enroll, Withdraw, and Residency Forms

Acknowledgement of Withdrawal of 17-year old from School (Print & Complete)	PS-030
Home-bound and Hospitalization Instruction Verified Medical Reason	PS-033
Home Schooling (Notice of Intent)	PS-036
Initial Registration Form	PS-001
Residency Verification and Affidavits	PS-019
Residency Verification Affidavit RENEWAL only	PS-019H

Student Health and Insurance Forms

Authorization for Administering Medicine	H-005
Community Health Clinic Referral Form	SE-033
Field Trip Medical Emergency Form (Print & Complete)	H-008
Health Assessment Record - State of Connecticut	HAR-3
Homebound & Hospitalization Instruction Verified Medical Reason	PS-033
Medical Exemption Certification Statement (CDPH)	HS-014
Release of Health Information	H-033
Religious Exemption from Vaccination (CDPH)	H-013
Tuberculosis Testing After Travel Out of Country	H-026A
Yearly Health Report	H-003

Permission / Denial Forms

Consent of Student Submissions to Surveys, Evaluations, Analysis	PS-039
Denial of Permission to Release Directory Information	PS-010
Emergency Early Dismissal Information Form	PS-004
Permission to Publish Student Work/Photograph Electronically	PS-009
Release of Information	PS-003
Release of Information (Spanish)	PS-003S
Notice of Parent Rights	PS-040

Student Transportation Forms

Daycare Bus CHANGE Guidelines and Forms	PS-005B
Daycare Bus Guidelines and Forms	PS-005A

Website by SchoolMessenger Presence. © 2021 Intrado Corporation. All rights reserved.