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WASHINGTON

PUBLIC SCHOOLS PUBLIC SCHOOLS

Parent Resources / New Student Registration Forms (New Students Only)
Student Registration - Elementary Kinder-5th Grade

Student Registration - Elementary Kinder-5th Grade

Enrollment Form

Elementary Enrollment Form

Reaquired field: Child's Legal First Name
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Child's Middle Name
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Reaquired field: Child's Legal Last Name
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Child's Preferred Name
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Reaquired field: Home Street Address
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Apt. #
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Reaquired field: City
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Reaquired field: Zip Code
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Gender

Female

Male

Child's Social Security Number
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Reaquired field: Date of Birth:

Reaquired field: Grade Entering
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Special Education:

No

Yes

504 Plan:

No

Yes

U.S. Citizen:

No

Yes

ESL:

No

Yes

If Yes, what is the Native Language:
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Ethnic Group:

Caucasian

African American

Hispanic

Asian

Native American

Multi-Racial

Prefer Not To Answer

Other
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Reaquired field: Last School Attended:

Reaquired field: Date Last Attended:

Reaquired field: Last Grade Completed:
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Student resides with:

Both Parents

Mother

Father

Other

Other

If Other, Name and Relationship:
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Legal/Custody Papers?

No

Yes

Reaquired field: Parent Email Address

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Mother's First Name
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Mother's Last Name
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Mother's Home Phone Number
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Mother's Street Address
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Mother's City of Residence
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Mother's Cell Phone
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Mother's Place of Employment
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Mother's Work Phone
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Father's First Name
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Father's Last Name
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Father's Home Phone Number
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Father's Street Address
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Father's City of Residence
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Father's Cell Phone
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Father's Place of Employment
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Father's Work Phone
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Guardian's First Name
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Guardian's Last Name
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Guardian's Home Phone Number
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Guardian's Street Address
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Guardian's City of Residence
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Guardian's Cell Phone
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Guardian's Place of Employment
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Guardian's Work Phone
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Reaquired field: Emergency Contact (First Name):
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Reaquired field: Emergency Contact (Last Name):
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Reaquired field: Emergency Contact (Phone Number):
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Reaquired field: Relationship to Child:
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Reaquired field: Emergency Contact (First Name):
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Reaquired field: Emergency Contact (Last Name):
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Reaquired field: Emergency Contact (Phone Number):
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Reaquired field: Relationship to Child:
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Was Your Child in the Gifted and Talented Program at Their Previous School?

No

Yes

How Will Your Child Be Transported From School?

Reaquired field: Bus Rider

Reaquired field: Parent/Guardian Pickup

Reaquired field: In Town- Will Walk

Reaquired field: Other

Other

Reaquired field: City and State Child Was Born Copy

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Email a copy to

optional

Required Fields

CONTACT US:

Washington Public Schools
101 E Kerby | PO Box 98
Washington, Oklahoma 73093
Phone: 405-288-6190
Fax: 405-288-6214

CONNECT WITH US:

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Contents © 2024 Washington Public Schools

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