Depue High School

List any Physical or Medical Conditions to be aware of (Enter N/A if there are none). Click the + symbol after each condition entered to add multiple conditions.
Contact Person: (Enter Full Name, Relationship, and Primary Phone Number). To enter multiple people, press the + symbol for each new person you wish to add.
As a part of the standard ACC curriculum your child will attend field sessions that take him or her outside of the Area Career Center. These field sessions will take place within the immediate Illinois Valley area. By checking this box you consent to your child's involvement in these field sessions. Any field trip that goes outside of the Illinois Valley Area will require your child to bring home a formal field trip permission slip. Checking this box affirms your consent on an ongoing basis for the routine field experiences within the Illinois Valley and foregoes the necessity of a formal field trip form being sent home. *
The LaSalle Peru Area Career Center operates on a limited enrollment basis. This means that each class has a certain number of reserved seats. When a student accepts enrollment in an ACC class there may be additional students who are on a waiting list to get into that class. For this reason the ACC has a strict 10 day absence limit. Any student who exceeds the 10 day absence limit will be recommended for being placed in an attendance remediation program that will be monitored between the home school and the ACC. By checking the box below you are indicating that you have read this clause and understand its ramifications as it pertains to maintaining enrollment in the ACC. Failing to check this box will cause the form to be returned to the parent and student and could jeopardize enrollment in the LPACC. *
Is this student required to be on an asthma plan? (If so, the ACC will need to have a copy of that plan on file, check N/A for non-children) *
Parent or Guardian Signature. You may sign this form with your computer (use mouse to write in box provided below). However, when the form is printed, please sign it again using an ink pen, and have your child submit the complete form to his or her counselor.
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