Required Registration Health Forms
- Please access and complete the Required Registration Health Forms for the grade level your child will be entering in the fall.
- Remember to complete the Optional Health Forms in the event your child: requires medication at school; needs to carry an asthma inhaler; haslife-threateningg allergies; and/or plans to participate or tryout for an interscholastic athletic program (at Daniel Wright only)
- Please also review the Immunization Requirements for the upcoming school year to ensure that your student has received what is required in order to start school on the first day of class.
Required Health Forms
Please make your selection(s) below for the grade level in which your child(ren) will register, as a student returning to District 103 for 2017-2018.
Laura B. Sprague School
- Early Childhood:
- Grade 1
- No additional health forms are required.
- No additional health forms are required.
- Grade 2
Half Day School
- Grade 3
- No additional health forms are required.
- No additional health forms are required.
- Grade 4
- No additional health forms are required.
- No additional health forms are required.
- Grade 5
- No additional health forms are required.
Daniel Wright Junior High School
- Grade 6
- Grade 7
- No additional health forms are required.
- No additional health forms are required.
- Grade 8
- No additional health forms are required.
- No additional health forms are required.
Optional Health Forms
Please complete and return these forms to the school in the event your child:
- Requires medication at school
- Procedure (pdf)
- Authorization Form (pdf)
- Needs to carry an asthma inhaler
- Has life threatening allergy
- Allergy Health History Form (pdf)
- Emergency Action Plan (pdf)
- Plans to tryout for or participate in an interscholastic athletic program (at Daniel Wright only)
Immunization Requirements
Evidence of immunity against the following diseases must be submitted at various grade levels: Polio, Diphtheria, Pertussis, Tetanus, Measles, Mumps, Meningicoccal, Pneumoccal, Rubella, Hepatitis B, Haemophilis Influenza Type B, and Varicella.
Failure to comply with the above requirements by the first day of the current school year will result in the student’s exclusion from school until the required health forms are presented to the school, subject to certain exceptions.
