• 1370 N. RIVERWOODS ROAD
  • LINCOLNSHIRE, IL 60069
  • 8:00 AM - 4:00 PM MON-FRI
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Parents > Required Registration Health Forms

Required Registration Health Forms

  • Please access and complete the Required Registration Health Forms for the grade level your child will be entering in 2016-2017.  
  • Remember to complete the Optional Health Forms in the event your child: requires medication at school; needs to carry an asthma inhaler; has life threatening allergies; and/or plans to participate or tryout for an interscholastic athletic program (at Daniel Wright only)
  • Please also review the Immunization Requirements for 2016-2017 to ensure that your student has received what is required in order to start school on the first day of class (August 29, 2016).

Required Health Forms

Please make your selection(s) below for the grade level in which your child(ren) will register, as a student returning to District 103 for 2016-2017.

Laura B. Sprague School
Half Day School
  • Grade 3 
    • No additional health forms are required.
  • Grade 4
    • No additional health forms are required.
Daniel Wright Junior High School

Optional Health Forms

Please complete and return these forms to the school in the event your child:

Immunization Requirements

Evidence of immunity against the following diseases must be submitted at various grade levels: Polio, Diphtheria, Pertussis, Tetanus, Measles, Mumps, Meningicoccal, Pneumoccal, Rubella, Hepatitis B, Haemophilis Influenza Type B, and Varicella

Failure to comply with the above requirements by the first day of the current school year will result in the student’s exclusion from school until the required health forms are presented to the school, subject to certain exceptions.


  • Our Mission:
  • To provide innovative learning experiences which empower each student to excel and make a difference in a diverse and interconnected world.
  • 1370 N. RIVERWOODS ROAD
  • LINCOLNSHIRE, IL 60069
  • 8:00 AM - 4:00 PM MON-FRI
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