• All of the forms listed may be printed, completed, and turned in to the appropriate person as needed. Blank forms are also available in the school offices.

    Name of Form

    What it is Used For

    Where to Turn It In

    Every student enrolled in CUSD#4 must have a completed Enrollment Form and Student Information Sheet on file, signed by a parent/guardian. school office
    Athletic & Activity Consent Waiver

    Any 7th through 12th grade student that tries out for an athletic team must have a completed form on file in the nurse’s office before tryouts begin.

    school office or nurse’s office

    Community Service Form

    The office tracks all community service hours completed by students. This information is used to determine awards given and to complete graduation requirements.

    school office

    Concussion Information & Form

    Any 7th through 12th grade student that tries out for an athletic team must have a completed form on file in the nurse’s office before tryouts begin.

    school office or nurse's office
    Media Consent Form

    All students are required to have this form on file in the office. This form grants students' name and/or picture to be published in the media, grants authorization for access to the district's computer system, and acknowledges that the student has received a copy of the school handbook.

    1st hour teacher by the end of the 1st week of school.
    Forms are kept on file in the school office

    Eye Examination Form

    This form is required for all incoming kindergarten students and students who are new to the district and have never attended an Illinois school before.

    school office or nurse’s office

    Fee Waiver Application

    Students from a family that is below a certain income level may be eligible to have their registration fees waived.

    school office; Principal reviews and approves

    Dental Form

    Kindergarten, 2nd, and 6th grade students are required to have a dental examination before May 15 of their K, 2nd, and 6th grade year. Students new to the district are also required to have a dental exam. 

    Nurse’s office

    Free and Reduced Lunch Application

    Students from a family that is below a certain income level may be eligible for free or reduced lunches.

    school office; Principal reviews and approves

    Medication Consent Form

    If a student needs to take medicine during school hours, this form must be completed with the medication information and signed by the doctor.

    Nurse’s office; nurse keeps form on file along with medicine. Student must go to the nurse to take medicine.

    PE sweat orders will only be taken during the 1st week of each school grading quarter. Please see order form for order dates. (Applies to CMS and CHS students only.)

    school office

    Physical Form

    (2 pages)

    Kindergarten, 6th grade students, 9th grade students, and students new to the district are required to have a complete physical examination including immunizations before the first day of school.

    school office or nurse’s office

    Planned Absence Form

    When a student knows in advance that he/she will be absent from school, he/she should take the form to their teachers to get assignments that will be missed. This form is to be filled out at least two days before the absence begins.

    school office BEFORE absence begins

    Sports Physical Form (2 pages)

    Any 7th through 12th grade student that tries out for an athletic team must have a current physical on file in the nurse’s office before tryouts begin.

    school office or nurse’s office  

      
     Drug Test Consent FormMust be signed by HS athlete and parent at registration. high school office
     Drug Test Withdrawal Form Completed when student no longer participates in high school athletics.  high school office