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Page 1: FLANAGAN UNIT DISTRICT #4 SCHOOLS€¦ · Web viewI, the parent/guardian, do authorize the school personnel to administer the medication or procedure as instructed above. I also agree
Page 2: FLANAGAN UNIT DISTRICT #4 SCHOOLS€¦ · Web viewI, the parent/guardian, do authorize the school personnel to administer the medication or procedure as instructed above. I also agree
Page 3: FLANAGAN UNIT DISTRICT #4 SCHOOLS€¦ · Web viewI, the parent/guardian, do authorize the school personnel to administer the medication or procedure as instructed above. I also agree
Page 4: FLANAGAN UNIT DISTRICT #4 SCHOOLS€¦ · Web viewI, the parent/guardian, do authorize the school personnel to administer the medication or procedure as instructed above. I also agree

FLANAGAN-CORNELL UNIT DISTRICT #74 SCHOOLS ENROLLMENT/EMERGENCY CARD (First time entry to Flanagan Grade School)

Enrollment Date __________ Home School District ___________________ Serving School District _____________________

Grade Level (circle one) ECE PK K 1 2 3 4 5 6 7 8 9 10 11 12

STUDENT _____________________________________________________________ Male ____ Female ____ Last Name First Name Full Middle Name

Date of Birth __________ City/State of Birth ______________ Social Security # _______________ Medicaid # ____________ Ethnicity/Race (Please select one as required by the state) 1. Caucasian (white)_____ 2. American Indian/Alaskan Native _____

3. Asian ______ 4. Native Hawaiian/ Pacific Islander ______ 5. Black/African American _____

Is your child also Hispanic or Latino? Y N (Please circle ) Home Language ____________

Parent/Guardian 1 Name __________________ Relationship to Child ________________ Email Address_________________

Address _____________________________________ City _________________ State ______ Zip __________ Street Address P.O. Box #

Primary Phone ______________ Other Phone ______________ Work Phone _____________ Ext. ______ Employer __________

Parent/Guardian 2 Name __________________ Relationship to Child ________________ Email Address_________________

Address _____________________________________ City _________________ State ______ Zip __________ Street Address P.O. Box #

Primary Phone ______________ Other Phone ______________ Work Phone _____________ Ext. ______ Employer __________

Parent/Guardian 3 Name __________________ Relationship to Child ________________ Email Address_________________

Address _____________________________________ City _________________ State ______ Zip __________ Street Address P.O. Box #

Primary Phone ______________ Other Phone ______________ Work Phone _____________ Ext. ______ Employer __________

Child lives with _____________________________ Mother’s Maiden Name (for state purposes only) _______________________

Siblings (First and Last Names) Please include additional siblings on the back of page

Name _______________________________________________ Date of Birth _______________ Age _____ Grade Level ________

Name _______________________________________________ Date of Birth _______________ Age _____ Grade Level ________

Name _______________________________________________ Date of Birth _______________ Age _____ Grade Level ________

In case of Emergency, Contact: (Person who is authorized to pick up child other than parent/guardian)

Name _______________________ Relationship __________________ Daytime Phone ____________ Other Phone ___________

Name _______________________ Relationship __________________ Daytime Phone ____________ Other Phone ___________

Name _______________________ Relationship __________________ Daytime Phone ____________ Other Phone ___________

Name _______________________ Relationship __________________ Daytime Phone ____________ Other Phone ___________

Medical Concerns: Diabetic? Yes No Heart Disease? Yes No Asthma? Yes No

Allergies (please list) _________________________________________ Other Medical Concerns/What action is necessary?

__________________________________________________________________________________________________

______________________________________________________________________________________________

FOR OFFICE USE ONLY

SID # ___________________________

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Family Doctor ___________________________________ ___________________ __________________ Name City Phone

Signature of Parent/Guardian ____________________________________ Date ____________________ ________ Grade

2019-2020 Grade School Fee Statement for Student:

CAFETERIA: $_____________Breakfast $1.75 Lunch $2.10 Extra Milk 30¢ ($10 Minimum)August 15 -September 30 has 32 lunch days = $67.20 and 32 breakfast days = $56.00

Previous Cafeteria Balance Due: $_____________

Other Past Due Balances: (Library books, headphones, etc.) $_____________

MILK FEES: $55.00 $_____________

Kindergarten, 1st and 2nd grades special milk for a full year

BASIC REGISTRATION FEE: $65.00 $65.00BAND FEE 5th-8th GRADE: $15.00 $_____________

4th GRADE MUSIC FEE: $10.00 $_____________

JH SPECIALS FEE (5th-8th ) $15.00 $_____________

EXTRA-CURRICULAR PARTICIPATION (Includes All IESA Sponsored Activities)SINGLE STUDENT FEE $40-$80 MaximumFAMILY $100 (includes HS students) $_____________

SEASON ATHLETIC PASSES: STUDENT $40.00 $_____________This pass allows entrance to all home athletic activities ADULT $60.00 $_____________except tournament events FAMILY $150.00 $_____________

ATHLETIC BOOSTER CLUB Dues: $20.00 $_____________

PTO Dues $5.00 $_____________

PTO Donation $_____________

TOTAL DUE: $_____________

Page 6: FLANAGAN UNIT DISTRICT #4 SCHOOLS€¦ · Web viewI, the parent/guardian, do authorize the school personnel to administer the medication or procedure as instructed above. I also agree

FLANAGAN-CORNELL UNIT DISTRICT #74

Authorization for Internet Access

Dear Parent (s) or Guardian(s):

If you have a student entering Kindergarten or 9th grade, are new to the Flanagan-Cornell School District, or would like to change the authorization for your child, please complete and sign the attached “Authorization for Internet Access” and return to the office with your registration information.

We have the ability to enhance your child’s education through the use of the Internet. The Internet offers vast, diverse, and unique resources. The District’s goal in providing this service is to promote educational excellence by facilitating resource sharing, innovations, and communication. Your authorization is needed before your child may use this resource.

The Internet electronically connects to thousands of computers throughout the world and millions of individual subscribers. Students and teachers may have access to:

*Information from government sources, research institutions, and other sources*Many libraries, including the catalog to the Library of Congress, and the Educational Resources Information Clearinghouses (ERIC)*Information and news from NASA as well as the opportunity to correspond with the scientists at NASA and other research institutions.

With access to computers and people all over the world also comes the availability of material that may not be considered to be of educational value in the context of the school setting. Flanagan-Cornell Unit 74 has taken some available precautions to restrict access to controversial materials. However, on a global network it is impossible to control all materials and an industrious user may discover controversial information. We at Flanagan-Cornell Unit 74 firmly believe that the valuable information and interaction available on this worldwide network far outweighs the possibility that users may procure material that is not consistent with the educational goals of this district.

Internet access is coordinated through a complex association of government agencies, and regional and state networks. In addition, the smooth operation of the network relies upon the proper conduct of the end users who must adhere to strict guidelines. These guidelines are provided here so that you are aware of the responsibilities you are about to accept. In general this requires efficient, ethical, and legal utilization of the network resources.

Should a Unit 74 student violate any of these provisions, his or account will be terminated with additional disciplinary action initiated as directed by the Student Handbook and Board of Education Policies.

The district prohibits the accessing, submitting, posting, publishing, or displaying of any materials that may be defamatory, inaccurate, abusive, obscene, profane, sexually oriented, threatening, racially offensive, harassing, illegal, or otherwise inappropriate in the school setting. Ultimately, parent(s)/guardian(s) are responsible for setting and conveying the standards that their child or ward should follow. To that end, the School District supports and respects each family’s right to decide whether or not to authorize Internet access.

Please read and discuss the “Authorization for Internet Access” with your child. If you agree to allow your child to have an Internet account, sign the Authorization form and return it to school.

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FLANAGAN CORNELL UNIT SCHOOL DISTRICT NO. 74AUTHORIZATION FOR INTERNET ACCESS

(Complete upon initial entry to school)

(To be completed by the student)

I understand and will abide by the “Authorization for Internet Access”. I further understand that should I commit any violation, my access privileges may be revoked, and school disciplinary action and/or appropriate legal action may be taken. In consideration for using the District’s Internet connection and having access to public networks, I hereby release the School District and its board members, employees, and agents from any claims and damages arising from my use, or inability to use the Internet.

Date

User Name ________________________________________ (Please print)

User Signature _________________________________________________

(To be completed by the parent/guardian)

I have read this “Authorization for Internet Access.” I understand that access is designed for educational purposes and that the District has taken precautions to eliminate controversial material. However, I recognize it is impossible for the District to restrict access to all controversial and inappropriate materials. I will hold harmless the District, its employees, agents, or board members, for any harm caused by materials or software obtained via the network. I accept full responsibility for supervision if and when my child’s use is not in a school setting. I have discussed the terms of the “Authorization” with by child. I hereby request that my child be allowed access to the District’s Internet.

Date ___________

Parent/Guardian Name __________________________________________________________ (please print)

Parent/Guardian Signature ________________________________________________________

******************************************************************************

At this time, I will not allow my child access to the Internet.

Date Name of Student _______________________________

Name of parent/guardian (please print) _________________________________________

Signature of parent/guardian __________________________________________________

Page 8: FLANAGAN UNIT DISTRICT #4 SCHOOLS€¦ · Web viewI, the parent/guardian, do authorize the school personnel to administer the medication or procedure as instructed above. I also agree

Flanagan Elementary/Junior High School 202 East Falcon Highway, Flanagan, Illinois 61740

Phone: (815) 796-2261 Fax: (815) 796-2856Mr. Jerry Farris, Superintendent

Mr. Brian Yoder, Principal/Athletic Director

REQUEST FOR STUDENT RECORDS (New students only)

NAME: ______________________________ Date of Birth: ___________ Grade Level _____

PREVIOUS SCHOOL INFORMATION

NAME: ________________________ PHONE: ________________ FAX: ______________

ADDRESS: ___________________________________________________________________ (Number) (Street) (P.O. Box) (City) (State) (Zip Code)

Parent/Guardian Signature _____________________________________ Date ____________

The above student has enrolled at Flanagan Grade School. Please transfer the following information:

____ SCHOOL GRADES

____ HEALTH AND IMMUNIZATIONS RECORDS

____ TEST SCORES

____ ALL PERSONAL RECORDS AND INFORMATION

____ ALL SPECIAL EDUCATION RECORDS, INCLUDING IEP’S

____ ISBE 33-78 STUDENT TRANSFER FORM

Please send records to: Flanagan Grade School202 East. Falcon Hwy. Flanagan, IL 61740Fax: 815-796-2856 or email [email protected]

Thank you in advance for your prompt attention.

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Flanagan-Cornell Unit District #74 Bus Transportation 2019-2020

(Complete only if your child qualifies for transportation)PLEASE return this form no later than June 10, 2019

Students’ Names: ___________________________________ Grade Levels: _______________

Street Address: _________________________________________________________________ (City) (State) (Zip Code)

Home Phone: _____________________ Emergency Phone: ______________________

Bus routes are based on your home address. Transportation to and from a child care provider or to an address other than your home address, may be considered, but must be approved by administration. The child care provider must reside along an established bus route, and must have children currently enrolled in Flanagan-Cornell Unit #74 Grade School.

The following information will be used to create the bus schedule. If this information is not returned by May 25, 2018, it will be assumed that your child does not require bus transportation and will not be placed on a bus route. Please notify the school office of any transportation changes that occur during the school year.

My Child is new to Flanagan-Cornell District #74

Please indicate your child’s transportation needs below:

My child qualifies for bus transportation, but will not ride the bus for the 2018-2019 school year.

My child will ride the bus to school in the morning from my home address as listed above.

My child will ride the bus after school to my home address as listed above.

I would like to have approval for my child to be picked up at a child care provider in the MORNING.

I would like to have approval for my child to be dropped off at a child care provider AFTER SCHOOL.

I would like to have approval for my child to picked up in the MORNING and dropped off AFTER SCHOOL at a child care provider.

Child care provider’s name: ________________________ Child care provider’s phone number: ___________________

For Office Use Only:

Bus Route ______________

Bus # __ Driver: _________

M T W TH F Comments________________________________________

M T W TH F Comments________________________________________

M T W TH F Comments________________________________________

M T W TH F Comments________________________________________

M T W TH F Comments________________________________________

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Child care provider’s address: ________________________________________________________________________

Parent/Guardian Signature ________________________________________

FLANAGAN GRADE SCHOOLList of Medication Form

Student’s Name: ________________________ Date of Birth: __________

Times Required ________________________________________________

If your child is currently on medication, we are asking you to list below the dosage. In case we need to seek emergency treatment for your child, it is extremely important to know what medication your child is taking. List those taken at home and at school. Please let us know of any changes as they occur. This is a voluntary form.

PLEASE COMPLETE EVEN IF NO MEDICATION IS GIVEN AT SCHOOL.

MEDICATION DOSAGE WHEN GIVEN

1. __________________________________________________________________

2. __________________________________________________________________

3. __________________________________________________________________

4. __________________________________________________________________

I authorize the school district to release health information to a medical authority in the event of a medical emergency.

I understand that I have the right to revoke this authorization by giving written notice to the school district. I understand that if the school district has already used or released my health information in reliance on this authorization, that I cannot revoke the authorization. If I refuse to sign this authorization, the above described health information will not be disclosed except as provided by law. I understand that this authorization us valid until the expiration date listed, or until I revoke it in writing by delivering a written revocation to the school district.

Effective Date of Authorization: ________________ Expiration Date: June 30, 2020

Parent/Guardian Signature _____________________________ Date: ______________

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FLANAGAN-CORNELL UNIT DISTRICT #74Medication Request Form

Student’s Name: _______________________________________________

Name of Medication: ____________________________________________

Dosage or Procedure required: ____________________________________

Times Required ________________________________________________

Possible reactions that should be reported to the physician:

Special instructions including storage and sterile requirements:

Physician’s Name (prescription medication only) _____________________

I, the parent/guardian, do authorize the school personnel to administer the medication or procedure as instructed above. I also agree to 1) Deliver the medication to the school; 2) notify the school if we change physicians; 3)notify the school if the medication, the dosage or the procedure is changed, or to be eliminated.

_________________________ __________________Signature if Parent/Guardian Date

**This form must be signed by the student’s parent/guardian in order for the student to receive any medication prescription and/or over the counter throughout the 2019-2020 school year.

Please send medications in the original container only, labeled with the student’s name.

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2019-2020Newsletter by Mail

Request Form

This request must be renewed annually to receive the newsletter by mail.

The Flanagan-Cornell School Newsletter is accessible on the school website www.fc74.org.

In an effort to cut district costs and for your convenience, we are offering the school newsletter online. However, if you would like to continue receiving it by mail, please complete the information below and return to school with your child’s registration.

Please have the school newsletter mailed to me. This form must be on file for office use.

Name ______________________________________________________

Mailing Address: _____________________________________________

City: __________________ State: _______ Zip: _____________

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Dear Parent/Guardian of:

Please review the Student Handbook (available on the school website at www.fc74.org) with your student/s, sign below and return this form to school.

**STUDENT HANDBOOK AGREEMENT**PERMISSION TO USE PHOTO

We have read the Grade School Handbook and agree to abide by those rules. We also grant permission and are aware that the Flanagan Grade School students may at some time be in a video or photo that may be used on the school website, or other local media.

DATE: _____________________________

Printed Name of Student/s Grade Level

______________________ _________

______________________ _________

______________________ _________

______________________ _________

______________________ _________

______________________ _________

______________________ _________

______________________ _________

Printed Name of Parent/Guardian: Signature of Parent/Guardian:

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__________________________________ ____________________________________

A printed copy of the Student Handbook is available upon request.

Flanagan-Cornell High SchoolEXTRACURRICULAR CODE

These rules, regulations, and policies are to be enforced for all students that participate in EXTRACURRICULAR activities. Those activities covered by this document include ALL of the following:

Baseball Boys TrackBoys Basketball Girls TrackGirls Basketball CheerleadingBoys Golf Scholastic BowlGirls Golf VolleyballSoftball Student CouncilFootball FFAFCCLA YearbookClass OfficersBand activities which are not tied to gradesMusical activities which are not tied to grades(Jazz Band – Madrigals – School Plays – Musicals)

STUDENT-PARTICIPANTA boy or girl in grades 9-12 participating in any of the above activities fits into this category and is subject to the rules below. As he/she starts the first day of practice (or participation) in the first activity he/she goes out for or starts his/her high school career. The rules apply in-season, out-of-season, summers, and year-round until the student participant completes his/her career. The penalties accrue throughout the career of the student-participant; the first violation might occur during the freshman year, another offense, as a junior, would be the second offense. The high school career is 8 semesters of participation and/or until graduation day (or in the case of track, baseball and softball, the completion of that sport season, if the season extends beyond graduation.)HIGH SCHOOL ACADEMIC ELIBILIBITY REQUIREMENTSAll student-participants must be passing 20 credit hours each week; passing 4 subjects each week and a GPA of 1.0 (D). If the athlete is ruled ineligible, he/she may not participate from Sunday to Saturday. Regarding semester to semester eligibility, students shall, unless they are entering high school for the first time, have credit on the school records for 20 credit hours of high school work for the previous semester, and may not have failed 2 or more classes. Such work shall have been completed in the semester for which the credit is granted or in a recognized summer school program, which has been approved by the Board of Education and for which graduation credit is received.EXTRA CURRICULAR PARTICIPATION RULES

1. The student-participant shall not use tobacco in any form.2. The student-participant shall not consume, possess or distribute alcoholic beverages.3. The student-participant shall not consume, possess, or distribute any narcotics or drugs prescribed

to another student.4. The student-participant shall not attend a function where alcohol is illegally served, present or

transported. The student-participant shall not attend a function where other illegal or controlled drugs are in use.

5. The student shall not engage in conduct that constitutes criminal activity.

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6. The student shall not engage in any conduct which is demeaning to a fellow student, extra-curricular participant, or school employee. This conduct shall include, but not be limited to, bullying and cyber-bullying.

7. The student shall not engage in any activity which reflects poorly on the Flanagan-Cornell School District.

VIOLATIONS AND CONSEQUENCESI. TOBACCO PRODUCTS (Extracurricular Participation Rule #1)

A. First Offense – The student-participant will be suspended from extracurricular activities for a period of 10% of the scheduled contests.In assessing the penalty, if the number of contests comes to a decimal point less than 0.5, the penalty will be rounded down. If the number of contests comes to a decimal point that is equal to or more than 0.5, the penalty will be rounded up. For example, if 10% of the season is 2.3 games, the penalty will be 2 games. If 10% of the season is 2.6 games, the penalty will be 3 games.

If the remaining contests do not permit the full 10% penalty to be imposed in that season, the penalty will be carried over and applied to the participant’s next activity. For example, the penalty is 3 games, but only 2 games remain, the remaining percent will be assessed in the next activity.

If the student-participant quits the next activity, or is removed from the team by the coach, the remaining percent of the original penalty will carry over to the next activity. For example, a student-participant goes out for track to “burn off” his/her penalty, but quits the team (or is removed from the team by the coach), the penalty has not been fulfilled and will carry over to the next activity.

In cases of student-participants that are involved in FCCLA, FFA, Student Council, Yearbook, Band and/or Chorus activities not tied to grades, the penalties will be enforced in terms of months. First Offense will render the student-participant ineligible for 1 calendar month (example: penalty levied on March 2, the student-participant must not participate until April 2).

B. Second Offense – The student-participant will be suspended from extracurricular activities for a period of 20% of the scheduled contests.If the remaining contests do not permit the full 20% penalty to be imposed in that season, the penalty will be carried over and be applied to the participant’s next activity. For example, the penalty is 5 games, but only 3 games remain, the remaining percent will be assessed in the next activity.

If the student-participant quits the next activity, or is removed from the team by the coach, the remaining percent of the original penalty will carry over to the next activity. For example, a student-participant goes out for track to “burn off” his/her penalty, but quits the team (or is removed from the team by the coach), the penalty has not been fulfilled and will carry over to the next activity.

C. Third Offense – The student-participant will be suspended from extracurricular activities for one-calendar year.

D. Fourth Offense – The student-participant will be suspended from extracurricular activities for the remainder of the student’s high school career.

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II. ALCOHOL, CONTROLLED SUBSTANCES, CRIMINAL ACTIVITY, and OTHER STUDENT MISCONDUCT(Extracurricular Participation Rules #2-7)A. First Offense – The student participant will be suspended from extracurricular

activities for a period of 20% of the scheduled contests.In assessing the penalty, if the number of contests comes to a decimal point less than 0.5, the penalty will be rounded down. If the number of contests comes to a decimal point and is equal to or more than 0.5, the penalty will be rounded up. For example, if 20% of the season is 4.3 games, the penalty will be 4 games. If 20% of the season is 4.6 games, the penalty will be 5 games.

If the remaining contests do not permit the full 20% penalty to be imposed in that season, the penalty will be carried over and applied to the participant’s next activity. For example, the penalty is 5 games, but only 3 games remain, the remaining percent will be assessed in the next activity.

If the student-participant quits the next activity, or is removed from the team by the coach, the remaining percent of the original penalty will carry over to the next activity. For example, a student-participant goes out for track to “burn off” his/her penalty, but quits the team (or is removed from the team by the coach), the penalty has not been fulfilled and will carry over to the next activity.

In cases of student-participants that are involved in FCCLA, FFA, Student Council, Yearbook, Band and/or Chorus activities not tied to grades, the penalties will be enforced in terms of months. First Offense will render the student-participant ineligible for 2 calendar months (example: penalty levied on March 2, the student-participant must not participate until May 2).

B. Second Offense – The student-participant will be suspended from extracurricular activities for one-calendar year.

C. Third Offense – The student-participant will be suspended from extracurricular activities for the remainder of the student’s high school career.

III. FORGIVENESS CLAUSE (Adopted 6/03)If a student violates the code and contacts his/her coach/sponsor or principal within a period of 24 hours of the violation, the suspension is cut in half. *This only applies to the first offense.

AUTHORITY FOR DECISIONSA. Potential violations of the Extracurricular Code will be forwarded to the Extracurricular Code

Committee from the Principal, Athletic Director, and/or Coach or sponsor. The Coach and/or Sponsor will be responsible for handling violations that are explicitly covered by the Extracurricular Code. The Coach or Sponsor and the Extracurricular Code Committee shall be responsible for decisions relative to the violation of training rules and administration of consequences that are NOT explicitly covered in the Extracurricular Code. The Extracurricular Code Committee shall consist of the Athletic Director, the Principal, 2 coaches or sponsors, and 1 staff member who is not an active coach or sponsor. The Extracurricular Code Committee will be selected prior to the beginning of a new school year. Coaches will select the staff member to serve on the Extracurricular Code Committee. Coaches or sponsors on the committee whose participants violate a training rule will not be included in the administration of consequences. An alternate coach or sponsor will be assigned to fulfill their responsibilities in the decision.

B. The Extracurricular Code Committee will review all consequences towards student-participants. The Extracurricular Code Committee can review and strengthen consequences for situations not specially covered in the above extracurricular participation rules.

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C. The following provides a total number to help determine the number of games penalized for each sport:

Football 9Boys and Girls Basketball, Volleyball 19Golf (Varies from year to year) maximum of 18Baseball & Softball (Varies from year to year) maximum of 35Boys & Girls Track (Varies from year to year) maximum of 21

EXCLUSION RIGHTS FOR REVIEWA. A student-participant and a parent of guardian have the right to request a hearing with the

Coach, Athletic Director, and the Extracurricular Code Committee within 48 hours of exclusion.

B. If unsatisfied with the first hearing, the student-participant and parents have the right to request a hearing with the Board of Education or Board Committee.

C. All exclusion rights and privileges of the student-participant shall be similar to those of Board Policy and Flanagan High School Student Handbook.

MEETING BEFORE THE START OF SCHOOLThere will be a mandatory meeting of the coaches, sponsors, and participants before the beginning of school and practices. Parents and/or Guardians are encouraged to attend. At this meeting, coaches and/or sponsors will go over the training rules with the participants (and parents in attendance). If the parent or guardian is unable to attend the meeting the parent or guardian will be required to sign the document in the presence of school officials, during school hours (Principal, Athletic Director, and Principal’s Secretary). The parent and participant will sign two (2) copies of the rules, one to be retained by the parent and the other by the Athletic Director.

2019-2020 Student Contact / Parent Consent

In order to facilitate overall communication at Flanagan-Cornell Unit District #74, we are

organizing groups for e-mails, phone contacts, and/or text messages. Your child is part of

__________________________(Sport/Activity), please indicate below your contact preference for

your child. Or, check the bottom indicating your choice for your child(ren) not to be contacted.

I, ___________________________________, give permission for my child,

______________________________, to be contacted by his/her teacher, coach, or sponsor

regarding school-related matters in the following manner/s:

Please check all that you give permission for:

Personal E-mail @ email ____________@____________.______

Phone call @ phone number (____) _____-_______

Text message @ phone number (____) _____-______ (______) Carrier

I recognize that standard phone or text message rates may apply, and that the District will not be liable for any charges. I also understand that contact via school email accounts are

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covered by the technology usage signoff at registration. By my signature, I waive any right to payment or other compensation from the District for text messages, emails, or phone calls.

Date: / / ____________________________________(Parent or Legal Guardian)

____ I do not want my child(ren) contacted by any means for these purposes.Flanagan-Cornell Community Unit School District No. 74

Student Transfer Notice

If you will be moving out of the Flanagan-Cornell Unit 74 Elementary School District please complete and return this form.

The following student will not reside in the Flanagan-Cornell District #74 Elementary District for the 2019-2020 school year. You will be receiving a request for records from the school district listed below.

Student’s Name: ______________________________ Birth Date: __________

Forwarding Address: _______________________________________________

________________________________________________________________

New School District: __________________________________________

School Transferring to: _______________________________________

Town/City: ____________________________ State: _______________

Parent/Guardian Signature: ___________________________ Date: _________

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PHYSICAL EXAMINATIONSUPDATED IMMUNIZATIONS

DENTAL CHECK UPSBIRTH CERTIFICATES

All students entering ECE, preschool, kindergarten, sixth and ninth grade, and any student entering an Illinois school for the first time are required by Illinois state law to

have both medical and updated immunizations reports for registration.

All student athletes need a current athletic physical prior to the first day of practice.

Parents are encouraged to submit the completed physical form with the registration packet. Any students who do not provide proof of completed immunization records or the completed physical form by the deadline of October 15th may be excluded from attending

school.

Dental Examinations are required by state law for all children in kindergarten, second and sixth grade. Proof of a dental examination is required by May 15th of the qualifying school year. The child’s final report card may be withheld if the Proof of School Dental

Examination form has not been received by that date. Flanagan Grade School will sponsor Smile Illinois, a mobile dentist program in January. This exam fulfills the dental

requirement. No student is denied service because of the inability to pay.

Eye Examinations are required by state law for all students entering Kindergarten. Proof of an eye examination is required by October 15th. The child’s final report card may be

withheld if the Proof of Eye Examination form has not been received by that date.

A “certified” birth certificate is required for all students entering school for the first time. If you do not have a certified copy of the student’s birth certificate, please contact the

courthouse in the county where your child was born.

Thank You For Your Cooperation.

Page 20: FLANAGAN UNIT DISTRICT #4 SCHOOLS€¦ · Web viewI, the parent/guardian, do authorize the school personnel to administer the medication or procedure as instructed above. I also agree

2019-2020 School Supply List

KINDERGARTEN: *Items need to be clearly labeled with child's name1 bookbag* 5 Elmer's large glue sticks 1 Box Crayola Skinny markers (girls)1 Lunch Box* 2 Large pink or white erasers 3 Larges Boxes Kleenex1 plastic mat for rest time* 1 pair Fiskars scissors* 1 Pkg. refill baby wipes (boys)1 Pair Tennis Shoes* 2 trays Crayola water color paints (1 for Art) 1 Pkg. Ziploc sandwich or snack bags (boys)1 Zippered Pencil Pouch w/ clear front* 1 Roll paper towels 1 Pkg. disinfectant wipes (girls)2 plastic two-pocket folders (no fasteners)* 1 Pair headphones (no earbuds-Computers)* 1 Pkg. Ziploc quart or gallon size bags (girls)1 Elmer's glue 4 oz. 2 Skinny Black Expo dry erase markers 1 Box Crayola Broad markers (boys)4 Boxes Crayola Crayons (16 colors) (1 for Art)8 No. 2 Pencils1st GRADE: 1 bookbag without wheels* 4 skinny black dry erase markers 12 pencils (Girls)1 zippered 3 Ring Pouch* 1 sturdy white 3 ring 1"binder 1 box snack size bags (Girls)1- two-pocket plastic folder* 1 tray Crayola watercolor paints (Art) 1 box zip top gallon size bags (Boys)1 pair Fiskars scissors 4 in.* 2 boxes crayons (24 colors) 1 pkg. of highlighters (girls)1 sturdy white 3 ring 1.5" binder(*name inside)1 large eraser 1 pkg. of baby wipes (Art)1 pair of tennis shoes* 2 glue sticks 2 large boxes of kleenex (boys)2nd GRADE: PLEASE LABEL ALL ITEMS1 bookbag 1 wide ruled spiral notebook 3 large boxes Kleenex (1 for Computers)1 school box 1 pair pointed Fiskars scissors 1 container clorox wipes (boys)1 clean sock for dry erase board 1 Elmer's glue 4 oz. 1 box Quart size Ziploc FREEZER bags (girls)2 two-pocket folders 1 glue stick 1 tray Crayola water color paints (Art)1 box Crayola skinny markers 2 large erasers (1 for Art) 1 pkg. of baby wipes (Art)4 fine point dry erase markers 8 No. 2 pencils Pair of tennis shoes1 box 16 crayons 1 Pkg. Pencil topper erasers1 box Crayola colored pencils 1 ruler 1/4" scale, metric on one side3rd GRADE: PLEASE LABEL ALL ITEMS1 bookbag 1 Elmer's glue 4 oz. 1 pair pointed scissors 1 school box (5x8) 2 glue sticks 3 large boxes Kleenex1 clean sock for dry erase board 1 large eraser 1 box gallon size Ziploc Slider bags (Computers)3 two-pocket folders 12 No. 2 pencils 1 tray Crayola water color paints (Art)2 sets colored pencils (1 for Art) 1 ball point pen 1 pkg. baby wipes (Art)1 hand held pencil sharpener (Art) 1 wireless composition notebook2 dry erase markers 3 spiral notebooks (wide ruled) Pair of tennis shoes1 box crayons 1 ruler 1/4" scale, metric on one side4th GRADE: PLEASE LABEL ALL ITEMS1 bookbag 1 pair pointed scissors 1 wireless composition notebook1 school box (5x8) 1 Elmer's glue 4 oz. 1 ruler 1/4" scale, metric on one side1 two-pocket folder (Music) 1 glue sticks 1 pkg. 200 sheets loose leaf paper, wide ruled3 sturdy folders without fasteners 1 large eraser 3 large boxes Kleenex2 sets colored pencils (1 for Art) 12 No. 2 pencils Pair of tennis shoes1 hand held pencil sharpener (Art) 1 ball point pen(no gel pens) 1 pkg. baby wipes (Art)2 dry erase markers 1 box 24 crayons

Optional Grade 1-8 Earbuds or Headphones for Computers ***LABEL PERSONAL ITEMS***

Page 21: FLANAGAN UNIT DISTRICT #4 SCHOOLS€¦ · Web viewI, the parent/guardian, do authorize the school personnel to administer the medication or procedure as instructed above. I also agree

2019-2020 School Supply List

KINDERGARTEN: *Items need to be clearly labeled with child's name1 bookbag* 5 Elmer's large glue sticks 1 Box Crayola Skinny markers (girls)1 Lunch Box* 2 Large pink or white erasers 3 Larges Boxes Kleenex1 plastic mat for rest time* 1 pair Fiskars scissors* 1 Pkg. refill baby wipes (boys)1 Pair Tennis Shoes* 2 trays Crayola water color paints (1 for Art) 1 Pkg. Ziploc sandwich or snack bags (boys)1 Zippered Pencil Pouch w/ clear front* 1 Roll paper towels 1 Pkg. disinfectant wipes (girls)2 plastic two-pocket folders (no fasteners)* 1 Pair headphones (no earbuds-Computers)* 1 Pkg. Ziploc quart or gallon size bags (girls)1 Elmer's glue 4 oz. 2 Skinny Black Expo dry erase markers 1 Box Crayola Broad markers (boys)4 Boxes Crayola Crayons (16 colors) (1 for Art)8 No. 2 Pencils1st GRADE: 1 bookbag without wheels* 4 skinny black dry erase markers 12 pencils (Girls)1 zippered 3 Ring Pouch* 1 sturdy white 3 ring 1"binder 1 box snack size bags (Girls)1- two-pocket plastic folder* 1 tray Crayola watercolor paints (Art) 1 box zip top gallon size bags (Boys)1 pair Fiskars scissors 4 in.* 2 boxes crayons (24 colors) 1 pkg. of highlighters (girls)1 sturdy white 3 ring 1.5" binder(*name inside)1 large eraser 1 pkg. of baby wipes (Art)1 pair of tennis shoes* 2 glue sticks 2 large boxes of kleenex (boys)2nd GRADE: PLEASE LABEL ALL ITEMS1 bookbag 1 wide ruled spiral notebook 3 large boxes Kleenex (1 for Computers)1 school box 1 pair pointed Fiskars scissors 1 container clorox wipes (boys)1 clean sock for dry erase board 1 Elmer's glue 4 oz. 1 box Quart size Ziploc FREEZER bags (girls)2 two-pocket folders 1 glue stick 1 tray Crayola water color paints (Art)1 box Crayola skinny markers 2 large erasers (1 for Art) 1 pkg. of baby wipes (Art)4 fine point dry erase markers 8 No. 2 pencils Pair of tennis shoes1 box 16 crayons 1 Pkg. Pencil topper erasers1 box Crayola colored pencils 1 ruler 1/4" scale, metric on one side3rd GRADE: PLEASE LABEL ALL ITEMS1 bookbag 1 Elmer's glue 4 oz. 1 pair pointed scissors 1 school box (5x8) 2 glue sticks 3 large boxes Kleenex1 clean sock for dry erase board 1 large eraser 1 box gallon size Ziploc Slider bags (Computers)3 two-pocket folders 12 No. 2 pencils 1 tray Crayola water color paints (Art)2 sets colored pencils (1 for Art) 1 ball point pen 1 pkg. baby wipes (Art)1 hand held pencil sharpener (Art) 1 wireless composition notebook2 dry erase markers 3 spiral notebooks (wide ruled) Pair of tennis shoes1 box crayons 1 ruler 1/4" scale, metric on one side4th GRADE: PLEASE LABEL ALL ITEMS1 bookbag 1 pair pointed scissors 1 wireless composition notebook1 school box (5x8) 1 Elmer's glue 4 oz. 1 ruler 1/4" scale, metric on one side1 two-pocket folder (Music) 1 glue sticks 1 pkg. 200 sheets loose leaf paper, wide ruled3 sturdy folders without fasteners 1 large eraser 3 large boxes Kleenex2 sets colored pencils (1 for Art) 12 No. 2 pencils Pair of tennis shoes1 hand held pencil sharpener (Art) 1 ball point pen(no gel pens) 1 pkg. baby wipes (Art)2 dry erase markers 1 box 24 crayons

Optional Grade 1-8 Earbuds or Headphones for Computers ***LABEL PERSONAL ITEMS***

5th GRADE1 bookbag 1 black Sharpie 1 hand held pencil sharpener (Art)1 lg. zipper pencil pouch 2 dry erase markers 1 pkg. index cards1 folder file with 6-8 pockets 2 highlighters 2 pkg. loose leaf notebook paper2- 3 ring, 1 inch binders 1 pair pointed scissors 2 spiral notebooks 70 pages1 Set of 8 dividers for binders 2 lg. glue sticks 3 large boxes Kleenex1 pocket folder (Music) 2 large erasers (1 for Art) 1 container disenfecting wipes (computers)2 sets 24 colored pencils (1 for Art) 24 No. 2 pencils 1 pkg. baby wipes (Art)

6th GRADE24 No. 2 pencils 1 subject spiral notebook (Math) 1 Sketchbook 8 1/2 x 11 or larger (Art)1 set colored pencils (SS, R, S) 1 Green Spiral Notebook (80 pages-Science) 1 flash drive4 Red, 4 Blue or Black Ball Point Pens 1 Spiral Notebook (80 pages - LA)2 highlighters per semester 3 pocket folders (Reading, LA,& S)2 glue 4 oz. or glue sticks 1 - 3 prong poly folder (Math)2 pkg. 4 x 6 Index Cards (R/LA) 1-3 ring, hard cover, 1” binder w/ pockets (SS)1 pair pointed scissors 1-Sets of 5 dividers for 3 ring binder (SS)2pkg. loose leaf notebook paper (R/SS) 3 lg. boxes of Kleenex (homeroom) 2 Black dry erase markers (Math) 1 pkg. babywipes (Art)

7th & 8th GRADE24 No. 2 pencils 1 subject spiral notebook (Math) 1 Sketchbook 8 1/2 x 11 or larger (Art)1 set colored pencils (Health, LA, R, S) 1 green spiral notebook (80 pages-Science)4 red, 4 blue or black ball point pen 2 spiral notebooks 80 pages max. (LA/R)2 highlightersters per semester 5 pocket folders (Health, LA, R, S, SS)2 black markers 1 - 3 prong poly folder (Math)2 Glue Sticks 1-3 ring, hard cover, 1” binder w/ pockets (SS)Index Cards (LA) 1-Sets of 5 dividers for 3 ring binder (SS)1 pair pointed scissors 1 pkg. loose leaf notebook paper (SS)1 lg. Eraser 3 lg. boxes of Kleenex (homeroom) 1 flash drive 1 pkg. babywipes (Art)2 Black dry erase markers (Math)

GRADES 5-8 BOYS & GIRLS P.E. P.E. uniforms may be purchased from The General Store or PST Express in Pontiac. Tennis shoes A plain grey, black or white t-shirt and black or navy shorts are acceptable White SocksStick Deodorant(put name on all clothing)

Optional Grade 1-8 Earbuds or Headphones for Computers All supplies will have to be replenished as needed.

***LABEL PERSONAL ITEMS***