New Student Registration Form (Grades 1 - 12, K only if previously attended school)

Student Information
(MM/DD/YYYY)
Address
Federal Codes
This question refers to ethnicity:
Must choose one or more race
Choose only one
(please select all that apply)
Emergency Contact Information
We will always try to reach a parent/legal guardian BEFORE calling the listed emergency contacts.
First Emergency Contact
(other than parents/legal guardians)
Second Emergency Contact
(other than parents/legal guardians)
Other people living in student’s household
Student Status
School last attended
Please include the Address, City, State & Zip