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Forms

Many forms are fillable using Free Adobe Acrobat. 
For help with forms, email smurphy@clintonpublic.net


Student Enrollment, Withdrawal, and Residency Forms 
  
Acknowledgement of Withdrawal of 17-year old from School  PS-030       
Initial Registration Form  PS-001
Notice of Intent: Instruction of Student at Home  PS-036 
Release of Information  PS-003
Release of Information (Spanish)  PS-003S
Residency Verification and Affidavits  PS-019 
Residency Verification Affidavit RENEWAL only  PS-019A
Homeless Children & Youth: Student Residency Affidavit (Parent/Guardian Form)  PS-059A
Homeless Children & Youth: Affidavit for Missing Documentation (Parent/Guardian Form)  PS-059A-1
Homeless Children & Youth: Student Residency Affidavit (Unaccompanied Youth Form)  PS-059B
Homeless Children & Youth: Affidavit for Missing Documentation (Unaccompanied Youth Form)  PS-059B-1


Student Health Forms 

Authorization for Administering Medicine                                                                                          H-005  
Field Trip Medical Emergency Form  H-008
Health Assessment Record - State of Connecticut
 HAR-3
Homebound & Hospitalization Instruction     PS-033
Medical Exemption Certification Statement (CDPH)  State of CT
Refusal to Permit Administration of Epinephrine for Emergency First Aid  PS060
Release of Health Information  H-033
Yearly Health Report   H-003


Permission/Denial Forms 

Denial of Permission to Release Directory Information                                                                             PS-010        
Emergency Early Dismissal Information Form (Joel)  PS-004
Field Trip Permission Form  H-008A
Permission to Publish Student Work/Photograph Electronically  PS-009
Notice of Parent Rights  PS-040


Safe Schools  

Parent-Staff Report of Suspected Bullying Behaviors                                                                           
 PS-027A-3  
Student Report of Suspected Bullying Behaviors
 PS-027A-1


Miscellaneous 

Request for Review of Educational Material                                                                                                             PS-043       


















 

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