REGISTRATION FORMS

MPCUSD #23 registration is conducted online prior to the first day of school. During online registration, the majority of these forms are completed online. If you are new to the district, in order to register online you must first have an account set-up. Contact hfricke@mtpulaski.k12.il.us for an account and include the grade level of the enrolling student, full name of the enrolling student, date of birth of the enrolling student, your physical address in district, and your phone number.

Required for All Students

• Student Information Card

• Health/Immunization Requirements for Students entering the 9th Grade

• Health/Immunization Requirements for Students entering the 12th Grade

• Transportation Form

• Student Health Information Form

• Personalized Learning Initiative Signature Pages(to be signed and returned after reading the MPCUD 23 Personalized Learning Initiative Handbook)

• Home Language Survey (First time enrolled students only)

• Affidavit Verification of Student Residency

• Proof of Residence

• Library Card

• Additionally required for Students Entering 9th Grade

  • Child Health Examination - This is the only form accepted for physicals.

  • Dental Examination

  • Immunizations Required

• School Health Services Forms

  • Asthma Form

  • Bee Sting Form

  • Food Allergy Form

  • Latex Allergy Form

  • Medication Administration Form

  • Vision Examination Form - Required for kindergarten or students enrolling for the first time in a public, private, or parochial school, but it does NOT include preschool.
    

• Lunch Forms

  • Free/Reduced Lunch Application
    

• Athletic Forms

  • IHSA Physical Examination Form

  • Athletic Participation Forms (Athletic Code, Medical History & Release, Participation Permit, Training Rules, Fees, Insurance/Waiver, Concussion Information, Performance Enhancing Substance Policy, Self Administration of Asthma Medication)

  • Athlete-Parent Expectations Code and Signature Page

  • Concussion Awareness Form

  • Individual Season Pass Order Form
    

• Other

  • Parking Permit Form

FEES AND COST

All students pay a basic book rental fee which includes the use of textbooks and workbooks. Some workbooks may cost an additional fee.

High School student fees are as follows:

Registration* - $125.00
Driver's Education - $50.00
L-Tech Vocational - $70.00

*There will be a fee for damaged and lost books.

Extra-Curricular Activity Fees:

High School (IHSA Sponsored) Activities - $40.00
High School Golf - $70.00

Lunch:

Student - $3.00
Extra Milk - $0.30
Adult - $3.50

Admission Fees

Adults - $3.00
Mount Pulaski Elementary and Mount Pulaski High School Students - Free**
Senior Citizen and Visiting Students - $2.00
Individual Season Pass to All Athletic Events (except IHSA, County, and Conference Tournaments) - $50.00

**In-district students will be admitted for free - except for IESA, IHSA, County and Conference tournaments.

Students in the Mt. Pulaski CUD #23 may be eligible for the free-reduced lunch program under the guidelines of the State of Illinois. If parents/guardians of students feel they would be eligible for this program, the student/parents should pick up a free/reduced lunch program application from the school office. Lunch cards at the high school are sold by the week to all students on Monday mornings. High school students will not be allowed to charge lunches. Lunch tickets or tokens will be sold before school, unless a student comes to school late, because of an excused absence.

ALL FEES ARE DUE BY THE LAST FRIDAY OF SEPTEMBER. A LATE FEE OF $25 WILL BE ASSESSED IF FEES ARE NOT PAID BY THIS DEADLINE, UNLESS OTHER ARRANGEMENTS ARE MADE WITH THE BUILDING PRINCIPAL.