REGISTRATION

Registration is a four-step process, it must be completed in its entirety in one sitting, and will take approximately 30-minutes per participant. If registration is begun and exited prior to full completion (i.e. completion of all four steps), it cannot be resumed, and must be re-started from the beginning.

PROGRAM REGISTRATION IS A FOUR-STEP PROCESS:
(1) Participant information survey.
(2) Parent/guardian information survey.
(3) Review and approval of research consent paperwork.
(4) Completion and receipt of written documents.

INFORMATION NEEDED WHEN REGISTERING INCLUDES:
– Participant personal information (e.g. name, address, date of birth).
– Participant Unit 4 school information (e.g. grade level, school attended, student ID number, free and reduced lunch status).
– Participant transportation needs (e.g. distance to Program, pick up location, drop off location).
– Parent/guardian and emergency contact personal information.
– Participant medical information (e.g. potential conditions, health insurance policy information).

ELEMENTARY SCHOOL PROGRAM
DATE
: Monday – Friday, June 3rd-28th
PARTICIPANTS: Rising first to fifth-graders in Champaign Unit 4.
REGISTRATION:

The Meal Form (as outlined in registration step 4 above) only needs to be completed if the participant has specific dietary restrictions or food allergies and requires a physician’s signature. A copy of the form can be found here: MEAL FORM.

If a child has a documented allergy, the physician statement form must be filled out and signed by the child’s physician. A copy of the form can be found here: Physician Statement

Once completed, the Meal Form should be mailed back to:

iPALS Wellness Program
University of Illinois at Urbana-Champaign
Department of Kinesiology and Community Health
Freer Hall 213
M/C 0-52
906 S. Goodwin Avenue
Urbana, IL 61801

Once all registration materials have been completed and returned (i.e. the meal form, if necessary), the participants’ eligibility for the Program, based on grade level and free and reduced lunch status, will be verified in collaboration with Champaign Unit 4 Schools.

Participants who have completed the four registration steps, and meet eligibility requirements, will either be placed into the Program or on the wait list. Verification of eligibility and assignment to the Program or wait list will be E-Mailed to the parent/guardian using that entered in the participant information survey.

FOR MORE INFORMATION, OR QUESTIONS RELATED TO REGISTRATION, CONTACT US AT:

Nicolette Suchon
iPALS Wellness Program Director
Phone: (217) 300-1058
Fax: (217) 244-7322
E-Mail: i-pals@illinois.edu