Registration Procedures 2012/2013
1. Verification of Residency:
Verify attendance with one of the following, check one and make a copy.
____Utility Bill (not telephone) Gas, Water, or Electric bill
____Rental Agreement
____Deed to Home/Escrow Papers
____Notarized form Proof of Residence
____Inter/Intra District Permit
____Birth Certificate
____Passport
____Baptism Record
3. Immunization Card Must have all of the following:
____4 doses of Polio
____5doses of DTP
____2 doses of MMR
____3 doses of Hepatitis B
____2 dose of varicella (chicken pox)
____Mantoux TB skin test (within 1 year)
*If positive please not in red ink on the top right.
____Complete physical exam (Kinder & 1st only) Signed by Doctor
____Complete Oral Health Assessment (Kinder & 1st. only) Signed by Dentist
4. The following enrollment forms must be filled out completely:
____Child and Parent/Guardian Information (front & back)
____Health Information (white form)
____Language Survey (If any of the first three responses on the survey are other than
English, the student will need to be assessed by the assessment center.
CALL THE ASSESSMENT CENTER EXT. 7000 and make an appointment)
Appointment Date and time: __________________________________
5. Program selected:
____English Only
____Dual Language (Must fill out waiver. Place with registration forms)
Registration hours are from 9:30 am to 2:00 pm EXCEPT ON WEDNESDAY from 9:30 am to 12:30 pm
REGISTRATION WILL NOT STARTED UNTIL ALL FORMS HAVE BEEN TURNED INTO THE SCHOOL .


