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2021-2022 BPS Pre-K through 12th Grade Enrollment
Enrollment will online beginning May of 2021.

This Enrollment form must be completed for each Parent/Guardian enrolling in Pre-K through 12th grade for the 2021-2022 school year.


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Email *
Student(s) Name (First, Middle, Last)/Grade Level - List each student's name and the grade level they will be attending in the 2021-2022 school year. *
Has this student(s)ever attended Blackwell Public Schools?  If so, what year and grade level were they in?
Student(s) Date of Birth   *
Name of Parent/Guardian Enrolling Student *
Phone Number Parent/Guardian Enrolling Student *
Are you a parent, relation or emergency contact for any other student already enrolled in Blackwell Public Schools? Please mark all that apply.
If you check a box in the above question; list all students that you are already connected to in Blackwell Public Schools.  
Prior School (if applicable) Please type NONE if N/A *
Prior School Address and Phone Number (Please type NONE if N/A) *
Did the student(s) attend special classes or have an IEP or 504?If so, list the students name. (Please type NONE if N/A ) *
Are you a student of a military family? *
Are there any circumstances about the custody of your child that we should know about which limits the sharing of records, picking up your child, etc.  (Please type NONE if N/A) *
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