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New Student - LES
Thank you for your interest in SCSD2!
Please complete the information in the form below and you will be contacted by a school representative to discuss the remainder of the school registration process.
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* Indicates required question
Student First Name
*
Your answer
Student Last Name
*
Your answer
Gender
*
Choose
Male
Female
Ethnicity
*
Is the student Hispanic/Latino?
Yes
No
Race
Choose all that apply
American Indian or Alaskan Native
Asian
Black or African American
Native Hawaiin or Other Pacifis Island Native
White
Student Date of Birth (MM/DD/YYYY)
*
Your answer
Grade Level Entering
*
Choose
K
1st
2nd
3rd
4th
5th
Parent / Guardian Status
*
Parents
Mother
Father
Grandparent
Guardian
Foster
Other
Primary Parent Name
*
(First and Last name)
Your answer
Primary Parent Phone
Your answer
Primary Parent Address
*
(Street, City, and Zip Code)
Your answer
Primary Parent Email
(optional)
Your answer
Previous School Attended
(School name and city)
Your answer
Did your child receive any Special Education Services at his/her prior school?
(i.e. Specific Learning Disability, Emotional Disability, Cognitive Disability, Speech/Language Impairment, etc.)
Yes
No
Clear selection
Check any/all that apply
I would like to talk to school personnel about my child's special education needs
I would like to talk to school personnel about my child's social/emotional needs
I would like to talk to the school nurse about my child's health needs
Submit
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