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  • Council Bluffs Community School District
  • Kirn MS Forms
  • Kirn Sports Physical - English

    Kirn Sports Physical - English

    CBCSD Physical Form (English) - Is valid for 1 year from the date on the physcial. 
    Physical Form - English.pdf 160.05 KB (Last Modified on August 12, 2020)
    Comments (-1)
  • CBCSD Physical Form - Spanish

    CBCSD Physical Form - Spanish 

    Formulario físico de CBCSD - es válido por 1 año a partir de la fecha del examen físico.
    Physical Form - Spanish.pdf 159.5 KB (Last Modified on August 12, 2020)
    Comments (-1)
  • Concussion Form

    Concussion Form

    Concussion Form - Must be completed annually.

    Formulario de conmoción cerebral - debe completarse anualmente.
    Concussion Form.pdf 104.34 KB (Last Modified on August 12, 2020)
    Comments (-1)
  • Student Activity Parent Permission Form

    Student Activity Parent Permission Form

    Student Activity Parent Permission Form - Must be completed annually. Please make sure you include all sports that your student will be interested in doing.

     

    Formulario de permiso de los padres para actividades estudiantiles - debe completarse anualmente. Por favor asegúrese de incluir todos los deportes que le interesen a su estudiante.
    Student Activity Permission Slip.pdf 117.88 KB (Last Modified on August 12, 2020)
    Comments (-1)

Council Bluffs Community School District

300 W. Broadway, Suite 1600, Council Bluffs, IA 51503

712-328-6446 712-328-6548

Disclaimers

  • It is the policy of the Council Bluffs Community School District not to illegally discriminate on the basis of race, color, age (for employment), national origin, sex, sexual orientation, gender identity, marital status (for programs), socioeconomic status (for programs), physical or mental disability, religion, creed, genetic information, ancestry, geographic location, citizenship, political party preference or belief, familial status or any other protected attribute, in its educational programs, activities or employment practices. There is a grievance procedure for processing complaints of discrimination. If you have questions or a grievance related to this policy, please contact the school district’s Equity Coordinator, Tim Hamilton, 712-328-6423, thamilton2@cbcsd.org, 300 W. Broadway, Suite 1600, Council Bluffs, IA 51503.
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The Council Bluffs Community School District complies with Americans with Disabilities ACT (ADA), Iowa Civil Right Act (IRCA), and Section 504 of the Rehabilitation Act in ensuring people with disabilities have an opportunity equal to that of their nondisabled peers to participate in the district’s programs, benefits, and services, including those delivered through electronic and information technology. For requests or inquiries regarding access to the district’s webpage or another electronic resource, please contact the District’s Chief Communications Officer, Diane Ostrowski at 712-328-6443 or dostrowski@cbcsd.org. Contact the District’s Section 504 Equity Coordinator, Tim Hamilton at 712-328-6423 or thamilton2@cbcsd.org.
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