Request edit access
JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
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.
Sign in to Google
to save your progress.
Learn more
* Indicates required question
School Year
*
Please select the school year in which your student will begin attending.
2023-2024
Student Information
Student's legal name is required as listed on the Birth Certificate.
Student Name - First
*
Your answer
Student Name - Middle
*
Your answer
Student Name - Last
*
Your answer
Student Name - Suffix
Jr.
Sr.
II
III
IV
Select one, if applicable
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
F
M
Is your student Hispanic or Latino?
*
Yes
No
Race
*
American Indian or Alaska Native
African American
Asian American
Hispanic or Latino
Native Hawaiian/Pacific Islander
White
Required
Grade Entering
*
For Kindergarten, please select 0.
0
1
2
3
4
5
6
7
8
9
10
11
12
Holton Public School Building of Residence
*
Select the building where you reside. This is not to be used for internal school of choice.
Elementary
Middle School
High School
Virtual Academy
Muskegon County Virtual Academy
Home Address - Street
*
Your answer
Home Address - City
*
Your answer
Home Address - State
*
MI
Other:
Home Address - Zip Code
*
Your answer
Primary Telephone Number
*
(Please Use Format: ###-###-####) This can be a number to receive text alerts.
Your answer
Student Cell Phone Number
(Please Use Format: ###-###-####)
Your answer
Next
Page 1 of 13
Clear form
Never submit passwords through Google Forms.
This form was created inside of Holton Public Schools.
Report Abuse
Forms
