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  • Please Complete All Information On Back - Cloverleaf Local

Get Please Complete All Information On Back - Cloverleaf Local

Office Use Only Copy Teacher Transportation Latchkey CLOVERLEAF LOCAL SCHOOLS EMERGENCY MEDICAL AUTHORIZATION - Students 2010-2011 CHILD S NAME (Print name) As it appears on the birth certificate.

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How to fill out the PLEASE COMPLETE ALL INFORMATION ON BACK - Cloverleaf Local online

Filling out the PLEASE COMPLETE ALL INFORMATION ON BACK form for Cloverleaf Local is essential for ensuring your child’s safety and health information is accurately recorded. This user-friendly guide will help you navigate the form with ease.

Follow the steps to complete your form accurately and efficiently.

  1. Click the ‘Get Form’ button to access the form and open it in the editor.
  2. Begin by entering the child’s name as it appears on their birth certificate. Be sure to fill in the last name, first name, and middle name as indicated.
  3. Provide the physical address where your child resides. Include the street number, city, and zip code.
  4. If your mailing address differs from the physical address, complete that section with the necessary information.
  5. Fill in your home email and home phone number. Ensure these contact details are current.
  6. Input your child’s birthdate, grade, and school information, and specify the bus numbers for both morning and afternoon routes.
  7. Indicate who has legal custody of the child. Specify whether they reside with a parent, guardian, or other caregiver by checking the appropriate box.
  8. Complete the section regarding the place of work and contact information for the other parent, if not living with the child, especially in cases of joint custody.
  9. List the emergency contacts, ensuring that these individuals are authorized to take your child in case emergency procedures need to be activated.
  10. If your child will attend latchkey, please check the corresponding box and provide details for both the morning and afternoon locations.
  11. In the consent section, check the applicable box regarding emergency medical treatment, and provide signatures and dates for all legal guardians.
  12. Complete the important medical information section, including your preferred physician and dentist, along with their contact information.
  13. Be thorough in the medical history section. List any allergies, medications, or physical impairments the school should be informed of, or indicate 'none known.'
  14. Once all sections have been filled out accurately, save your changes and download, print, or share the completed form as needed.

Complete the form online today to ensure your child’s essential information is up to date!

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The mission of the Cloverleaf Local Schools, a unified community committed to an interactive approach to life-long learning, guarantees all students an excellent education that prepares them for life's challenges by providing innovative instruction filled with engaging, experience-based learning opportunities, ...

Superintendent Maggie Niedzwiecki has over 29 years of experience in education. She was named superintendent in July 2021 after serving as Lakewood's assistant superintendent for three years.

Jeff Miller came to Green as a Student Teacher in the 1999-2000 school year.

A message from Superintendent Daryl Kubilus.

‒ Brett Yeagley, in his second year as Canton Local Schools superintendent, has a new five-year contract. Yeagley's new administrative contract begins Aug. 1, 2024. He began as Canton Local superintendent in 2021 after the retirement of Steve Milano.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
Privacy Notice
Legal Hub
Content Takedown Policy
Bug Bounty Program
About Us
Blog
Affiliates
Contact Us
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate WorkFlow
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232