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Required Forms

Required Forms

All of the CPS required forms are conveniently included in the Student Health & School Forms Booklet

Individual Forms are listed below:

Lunch Form (Federal Income Form – SY21/22
We receive funds for each child who qualifies for Free and Reduced Lunch. If we do not have 100% compliance by the 20th day of school we lose funding for the school. You will be contacted on a regular basis until this form has been submitted.

Emergency Contact Form (Filled out annually  English Spanish Polish

We need to know who to contact during an emergency and who is allowed (or not allowed) to pickup you child.
Student Medical Health Form (Filled out annually)  English Spanish Polish

Media Consent Form (Filled out once) English

Upcoming School Year Calendar English Spanish

Breakfast and Lunch are free for all CPS Students

Technology Responsibility Insurance Agreement  English

PTA Fee $5.00 individual / $10.00 family

Thorp Spirit Wear and Gym Uniforms

Upcoming School Year Calendar English Spanish

Transportation

The Chicago Board of Education provides transportation for students in grades K-8, who live more than 1.6 miles and less than 6 miles from school.  Parents of children not receiving bussing are responsible for their children’s transportation and punctuality, our school day begins promptly at 7:30 am and ends at 2:30 pm.   (PLEASE NOTE:  ALL TRANSPORTATION PROVISIONS AND POLICIES ARE SUBJECT TO CHANGE AND THE AVAILABILITY OF TRANSPORTATION MAY BE REDUCED).

Transportation Forms

Required Physical Examination and Immunization Requirements

Parents are reminded that physical examination and immunization requirements for Chicago public school students are as follows: Students entering kindergarten, sixth, and ninth grade are required to submit proof of physical examination and current immunizations to school by October 15th of each year.  Kindergarten Health Requirements, please click here for information.

 If you have already submitted a completed Certificate of Child Health Examination Form please accept our appreciation. If you have not met this requirement please submit a completed Certificate of Child Health Examination Form immediately to avoid exclusion. In addition, kindergartners, and any student enrolling for the first time in any grade, are now required to have a full version examination.

Students entering kindergarten, second, and sixth grade must have their dental examination completed by May 15th of each school year. If your child has not received the required examination and your family does not have health care insurance, places contact the Chicago Public School Children and Family Benefit Unit (CFBU). You may be eligible for Allkids or Family Care. Contact CFBU at 773-553-1809.

Administration of Medication

Medication Forms

The following forms allow students to receive their medication under adult supervision at school. With the appropriate forms, students are permitted to carry and self-administer asthma, diabetes, seizure, or allergy medication.

  • Physician Request for Self-Administration of Medication [ ENGLISH ]
  • Parent Request for Self-Administration of Medication [ ENGLISH | SPANISH ]
  • Physician Request for Administration of Medication [ ENGLISH ]
  • Parent Request for Administration of Medication to a Student [ ENGLISH | SPANISH ]

Allergy Forms

Asthma Forms

Minimum Health Requirement forms

All necessary documentation is located below for download.

State of Illinois Child Health Examination form: PDF icon English

State of Illinois Proof of dental examination form PDF icon English

State of Illinois vision examination form:  English

Physical exam and immunization waivers: PDF icon English

For more information, contact Coordinated School Health at (773) 553-1830.

 

 

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