School District of Jefferson Prospective Students
Please fill out the following form if you are interested in having your student(s) attend the School District of Jefferson for the 2017-18 School Year. Upon filling it out, you will be contacted by a District Staff members to aid you in the pre-registration process. Thank you in advance for considering the School District of Jefferson as the provider of your child(rens) education.
*If your student will be in 4K, there is a separate form to fill out at,
Email address *
1. Students First Name *
Your answer
Students Last Name *
Your answer
Date of Birth *
Please indicate the grade level of the student for the 2017-18 school year. *
Did your student receive special education from their previous school district?
Multiple Students
Please indicate whether or not you have multiple students in the household to enroll.
Do you have more students in the household to enroll? *
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