Epstein Secrets

back of Special Characteristics Card 5.Registration Forms - most recent on top 6.Cumulative Health Record - Immunizations. Birth Certificate and Physical Examination stapled in- side 7.Other legal information, such as court order, affi- davits and correspondence from community agencies 8.Standardized Test Data

Tardies O Check Homework O Encourage Reading at Home O Reinforce Skills O Attend Parent Conferences O Sign Daily/ treekly Notes K Attend Parent Curriculum/ Information Meetings 681 (REV. 8/12/2003) ORIGINAL - Cumulative Folder COPY • Te SIGMA! ant 0. r'AlteNT IGWNQAN er r-• •aren ua wan [Alt EFTA01709800 Studer! l

ic Condition 0 Respiratory Illness 0 it Seizure Disorder 0_ Skin Disorder 0 Vl Vision Disorder 0 III Other (Specify) 0 Sof Report of Physical Examination Normal Abnormal If Abnormal, Explain • Height (inches) V • • Weight (pounds) V • Pulse ( ) I.Vr • Blood Pressure l/ • Hair/Scalp ve- •

Tardies O Check Homework O Read with Child Every Night O Reinforce Skills O Attend Parent Conferences O Sign Daily/Weekly Notes K Attend Parent Curriculum/ Information Meetings DATE SIGNATURE OF PARENT / GUAR0fAN SIGNATURE OF TEACHER PBSD 1687 (REV. 9/13/2002) ORIGINAL - Cumulative Folder COPY - Teacher COPY Parent/Gua

ovide documentation of the items checked below. YOUR CHILD HAY NOT ATTEND SCHOOL UNTIL THIS INFORMATION HAS BEEN PROVIDED. 1. T.B. Test 2. Physical Examination 3. Hepatitis B 4. DPT/ OT 5. Polio 6. MMR - 1st , 2nd 3rd . For the safety and protection of your child and the school system, sc

Itment/ContributIon Check all that appty. O Monitor Attendance / Tardles K Encourage Reading at Home O Attend Parent Conferences K Attend Parent Curriculum/ Information Meetings K Successfuly Remediated O Requires New AIP Next School Year O Successfully Remediated O Requires New AIP Next School Yew 1171S111/121SIIIINCE