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Holton Public Schools Enrollment Form
NOTE:  Your submission requires an overnight to process.  Please complete and submit this form at least one business day before you plan to visit the building office to complete enrollment.
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School Year *
Please select the school year in which your student will begin attending.
Student Information
Student's legal name is required as listed on the Birth Certificate.

Student Name - First *
Student Name - Middle *
Student Name - Last *
Student Name - Suffix
Jr.
Sr.
II
III
IV
Select one, if applicable
Clear selection
Birthdate *
MM
/
DD
/
YYYY
Gender *
Please select F for Female or M for Male
Is your student Hispanic or Latino? *
Race *
Required
Michigan welcomes families of all language backgrounds. Speaking more than one language is a valuable asset! Please answer the two questions below. If your response to either question is a language other than English, the school district will give an assessment to see if your student may benefit from English language support.

What language is used most at home? *
What language is used most by the student? *
Grade Entering *
For Kindergarten, please select 0.  
Holton Public School Building of Residence *
Select the building where you reside.  This is not to be used for internal school of choice.
Home Address - Street *
Home Address - City *
Home Address - State *
Home Address - Zip Code *
Primary Telephone Number *
(Please Use Format:  ###-###-####)  This can be a number to receive text alerts.
Student Cell Phone Number
(Please Use Format:  ###-###-####)  
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