WELD COUNTY SCHOOL DISTRICT RE-5J YEARLY HEALTH UPDATE AND 1 ST AID PERMISSION FORM SCHOOL YEAR 2017/2018 STUDENT NAME GRADE With the beginning of the new school year, health records need to be updated. The following will help us provide the best possible care for your child while at school. 1. Please list any current medical conditions, medications, recent significant accidents or illnesses, and any allergies (ie: foods, insect stings, etc) your child may have. 2. The following 1 st aid supplies are available in the health office for your child s use-with your permission. Please mark either yes or no, then sign and date below. Yes No A&D ointment (for skin scrapes, irritations) Yes No Anbesol (for cold sores, toothaches, mouth pain) Yes No Burn Gel (non-medicated for mild burns, sunburns) Yes No Caladryl Lotion (for itchy rashes) Yes No Antacid Tablets (for upset stomachs) Yes No Cough drops (non-medicated for cough) Yes No Sting-Eze (for bee or wasp stings) Yes No Vaseline (for dry lips or skin) Similar supplies, medications, and treatments as those identified more specifically in the list above may be used (ie: generic brands). 3. There may be chronic or short term illnesses which make it necessary for your child to take medication at school. A separate permission form will be needed for medications such as Tylenol, Advil, asthma inhalers, or antibiotics and will only be given with written permission from the parent/guardian and the physician. These medications must be provided by the parent. Parent/Guardian Signature Date **PLEASE RETURN THIS FORM PROMPTLY TO THE SCHOOL NURSE**

LETFORD Kindergarten Supply List Revised 2017 Your child needs to bring a standard sized backpack (no wheels)! Please write your child s name on the backpack. In addition write your child s name on coats, jackets, hats, mittens, gloves, and boots. Thank you! Please, Do Not write your child s name on the school supplies. We encourage sharing by having community supplies. 8 boxes of 16 or 24 Crayola crayons (no glitter, fat, RoseArt or no 64 color) 1 bottle of Elmer s White Glue 8 No. 2 pencils (yellow, no design) USA Gold or Ticonderoga brand if possible 1 ream of standard white copy paper If your last name begins with A-M 1 large box of Kleenex If your last name begins with N-Z 1 box of baggies- sandwich OR gallon size baggies $7.00 class fee (please make checks to LES) *****Please purchase extra crayons, glue, pencils and scissors to keep at home for homework throughout the year. ** Below are some items that we always wish for in Kindergarten. These items are not required, but are always appreciated. White Card Stock Hot glue sticks Hand sanitizer Disinfecting wipes

LETFORD Lista de Útiles Escolares para el Kínder Edición corregida 2017 Su hijo(a) necesita traer una mochila estándar (sin ruedas). Por favor escribe el nombre de su hijo en la mochila. Además, escribe el nombre de su hijo en abrigos, chaquetas, sombreros, guantes y botas. Gracias! Favor de no escribir el nombre de su niño en los útiles. Compartimos los útiles en la clase. 8 cajas de 16 o 24 Crayola colores (no los con brillo, Los gordos, RoseArt, ni las cajas de 64) 1 botella de resistor (blanco y de marca Elmer s) 8 lápices (amarillo, sin dibujos) Tipo USA Gold o Ticonderoga si es posible 1 Paquete de papel blanco para copiar Si su apellido comienza con letras de la A a la M - 1 caja grande de Kleenex Si su apellido comienza con letras de la N a la Z - 1 caja de bolsas tamaño de sándwich o de galón $7.00 tarifa de la clase (por favor haga los cheques a LES) *****Por favor, compre en adicional, lápices de colores, pegamento, lápices y tijeras para tener en casa para hacer las tareas durante todo el año. ** A continuación se presentan algunos artículos que deseamos tener para nuestra clase. Estos elementos no son necesarios, pero siempre se agradece. Cartulina blanca Barras de pegamento caliente Desinfectante de manos Toallitas desinfectantes