Skip to main content

New Student Registration

Fill Form out as completely as possible.
Please Fill Out The New Student Registration Below


Tooltip

Tooltip

Tooltip

Tooltip

STUDENT'S FULL LEGAL NAME AS ON BIRTH CERTIFICATE, ADOPTION PAPERS, ETC.:


Tooltip

Tooltip

Tooltip

Tooltip

Tooltip

Tooltip

Tooltip

Tooltip

Tooltip

Tooltip


Tooltip

Tooltip

Tooltip

Tooltip

Tooltip

Tooltip

Tooltip

Tooltip

Tooltip

Tooltip

Tooltip


PERSON TO CONTACT IN CASE OF EMERGENCY:


Tooltip

Tooltip

Tooltip

Tooltip

Tooltip

Tooltip








Tooltip




School Health History




Tooltip



The Tylenol/Acetaminophen and Chewable antacid are on hand in the office for students with, headache, mild pain, or upset stomach. Please initial which of these you give permission for school personnel to administer to your child:


Tooltip

Tooltip

Tooltip

Tooltip

*By typing your name above or below, You agree that this is valid as your signature.



optional
Required Fields