New Student Enrollment Form 

Student [ŜƎŀƭ Name: 

 

Parent/ Guardian Checklist of Documents:

Birth Certificate Immunization Records Parent Photo Identification Proof of Residency

Proof of Residency (Online Only) School: Date: .

Student Information Legal Last Name: Legal First Name: Full Middle Name: Nickname:

Grade: Gender: Current Age: Date of Birth:

Date Entered US: Date Entered US School: Date Entered Colorado School:

Home Phone: Student Cell Phone:

Mailing Address: Apt# Mailing City: Mailing State: Zip Code:

Physical Address: City: State: Zip Code:

Foreign Exchange Student: YES NO

Subdivision of Residence:  

County of Residence: District of Residence:

Primary Language Spoken in Home: Secondary Language Spoken in Home:

The following questions are a Federal Requirement, if you choose NOT to select an answer, Woodland Park School District is required to select for you.

Is your child Hispanic/ Latino? No, Not Hispanic/ Latino Yes, Hispanic/ Latino (A person of Cuban, Mexican, Puerto Rican, South American, Central American, or other Spanish Culture or origin, regardless of race. What is your child’s race? (Select all that apply) Must select at least one...

American Indian or Alaska Nat ive (A person having origins in any of th e original peoples of North and South America (including Central America), and who maintains a tribal affiliation or community attachment.)

Asian (A person having origins in any of the original peoples of the Far East, Southeast Asia, or the Indian subcontinent including, for example, Cambodia, China, India, Japan, Korea, Malaysia, Pakistan, the Philippine Islands, Thailand, and Vietnam.)

Black or African American (A person having origins in any of the Black racial groups of Africa - includes Caribbean Islanders and other of African origin.)

Native Hawaiian or Other Pacific Islander (A person having origins in any of the original peoples of Hawaii, Guam, Samoa, or other Pacific Islands.)

White (A person having origins in any of the original peoples of Europe, the Middle East, or North Africa.)

FOR OFFICE USE ONLY

Start Date from

LASID SASID

                    New Student Enrollment Form 

Student [ŜƎŀƭ Name: 

 

 

 

Parent/Legal Guardian Information: In the event parents are legally separated or divorced, the school is required to treat each parent as having equal rights to access their student’s educational records unless a parent has a court order to the contrary. In addition, the school

will presume that each parent, with proper identification, has the right to pick up their student(s) from school. Any such court order must be signed and dated by the court, and a copy of any such order shall be presented to the school for its

files. Student Lives With: Both Parent (same household) Both Parents(separate households) Mother Only Father Only Legal Guardian Foster Parent Grandparent Other:____________________________________ (If other than parent, LEGAL documentation is required.) A student should generally be withdrawn by the person who enrolls them. The parent/ legal guardian who enrolled the student may provide the school with written permission accompanied by a copy of the parent guardian’ photo identification for another person to withdraw a child.

Parent/Guardian #1

First Parent/Legal Guardian Name: Employer:

Mailing Address: City & State Zip Code

Relationship to Student: Father Mother Stepfather Stepmother Grandfather Grandmother Other

Active Duty Military? YES NO If YES what Post/Base? Does the Student Reside Here? YES NO Part Time

Home Phone#: Cell Phone#: Work Phone#:

Attendance/Emergency Notification Phone#: Email Address:

Parent/Guardian #2 Second Parent/Legal Guardian Name: Employer:

Mailing Address: City & State Zip Code

Relationship to Student Father Mother Stepfather Stepmother Grandfather Grandmother Other

Active Duty Military? YES NO If YES what Post/Base? Does the Student Reside Here? YES NO Part Time

Home Phone#: Cell Phone#: Work Phone#:

Attendance/Emergency Notification Phone#: Email Address:

                    New Student Enrollment Form 

Student [ŜƎŀƭ NaƳŜ: 

Please list other Household Members living in the home.

Name: Relationship: Gender: School (as applicable):

Name: Relationship: Gender: School (as applicable):

Name: Relationship: Gender: School (as applicable):

Name: Relationship: Gender: School (as applicable):

Name: Relationship: Gender: School (as applicable):

Alternate Contacts: Please list 2 LOCAL contacts (other than yourself) who are allowed to pick up your student and could be contacted if the

district is unable to reach Parent/Guardians in case of an Emergency, School Closing, etc.. First Contact Name: Relationship to Student: Relative Daycare Friend

Neighbor Other

Home Phone#: Cell Phone#: Work Phone#:

Second Contact Name: Relationship to Student: Relative Daycare Friend Neighbor Other

Home Phone#: Cell Phone#: Work Phone#:

Early Dismissal Information: (Elementary and Middle School only)

Please call __________________________________________ at ____________________________ to verify arrangements. Early Dismissal Transportation (Check One): Bus* Walk* Daycare Picked up by Preauthorized Adult Other:___________________________ *If contact cannot be made, my child may be dismissed to ride the bus/walk as outlined above. (Middle School Only) Agree Disagree _____Initial

Parent/Guardian Signatures I SWEAR or AFFIRM THAT THE INFORMATION I HAVE PROVIDED IS TRUE AND CORRECT.

_____________________________ ________________ _____________________________ ________________ Parent/ Legal Guardian Signature Date: Parent/ Legal Guardian Signature Date: