Online Margaret Mace School Registration
Before starting at Margaret Mace Elementary, families will need to provide the following:  

-  Proof of Custody
-  Withdrawal Form (Pertains to students enrolled in another school during the current school year.   Must include grades at time of withdraw.  New Jersey transfer students must present a transfer card with the NJ STATE ID # for the student.)
-  Birth Certificate (All students must have a state-certified birth certificate, not hospital copy.)
-  Immunization Records (All students entering New Jersey Public Schools are required by law to be immunized prior to the start of classes.  Proof of immunization is required at the time of enrollment and must include the name of the person, the birth date, the type of vaccine administered and the month, day and year of each immunization.)
-  Special Services (A copy of the current Individual Education Plan for students presently receiving a specialized education.)
-  Proof of Residency   Must present at least two of the following:
   -  Lease Agreement (Must include name, address and telephone number of the property owner for verification.  It must be original copy, and no altered copies will be accepted.)
   -  Property Deed
   -  Tax Bill
   -  Mortgage Settlement Papers
   -  Utility Bill in parent/guardian name at stated address. (North Wildwood/West Wildwood Residents only)
   -  Voter Registration Card (North Wildwood/West Wildwood Residents only)
   -  U.S. Passport with address (North Wildwood/West Wildwood Residents only)
   -  Medicaid, Welfare, or Food Stamp identification card with address. (North Wildwood/West Wildwood Residents only)

NOTE:  Many of the above documents may be sent to our school after your previous school receives the request for records.  However, unofficial copies of the above may greatly expedite enrollment and placement.  In addition to the above, parents/guardians may want to present any standardized test scores, past report cards/transcripts and the student's current schedule.
Sign in to Google to save your progress. Learn more
Child's Legal Name (Last Name, First Name, Middle Name) *
What name do you use for Child (if different from above)?
Person completing this questionnaire:
Clear selection
Parent/Guardian Name(s) (Last Name, First Name) *
Are you the legal parent/guardian of the child being registered?   (Only the parent/legal guardian can register children in the school district.) *
Email Address: *
Cell Phone (Area Code and Number).   Please list all emergency contact numbers except home phone. *
Home Phone (Area Code and Number)
Home Address (Street, City, Zip Code) *You will be required to provide proof of residency.* *
How long have you lived at the above address? *
Do you have any present intention of moving from this home?
Clear selection
My last permanent residence was:
Reason for leaving:  
Do you have any residences elsewhere?
Clear selection
If yes, where?
Please indicate if the student resides in any of the following facilities:
My family has not had a permanent home since:
I receive my mail at:
Ethnicity (Check all that apply.  Completion of this section is optional and is used for compliance with Federal and State reporting requirements.)
Father's Name:
Is Father a U.S. Citizen?
Clear selection
Father's Place of Birth:
Father's Place of Employment:
Father's Work Phone:
Position Held:
Last Grade Completed for Father:
Mother's Name:
Is Mother a U.S. Citizen?
Clear selection
Mother's Place of Birth:
Mother's Maiden Name:
Mother's Place of Employment:
Mother's Work Phone:
Position Held:
Last Grade Completed for Mother:
Child's Date of Birth (Month/Day/Year): *
MM
/
DD
/
YYYY
Is Child a U.S. Citizen? *
Child's City, State and County of Birth: *
Child's Gender: *
Child is living with (Check One): *
Legal Custody:
Clear selection
Family Court Conditions:   NOTE:  Conditions cannot be honored without a copy of court order in child's file.  If conditions change, school must be sent a copy of changes to honor them.
If not living with parents list Guardian's name, relationship and phone number.
Please list any preschool program(s) Child attended before coming to our school.
List Previous School's name(s) and address(es) Child attended with dates:
Has this Child previously attended North Wildwood School District?
Clear selection
List dates and grades that Child previously attended North Wildwood School District.
Was Child enrolled in any of these programs at any previous school?
Clear selection
Discipline Concerns (expelled/suspended) with explanation:
Describe any serious illness(es) during pregnancy:
Describe any unusual conditions at birth:
Was Child premature:
Clear selection
Child's Birth Weight (lbs, oz):
At what age did Child walk?
Does child stumble, fall or bump into things?
Clear selection
Frequently?
Clear selection
Normal Speech Patterns?
Clear selection
Easily understood by others?
Clear selection
Has child seen an eye specialist?
Clear selection
Are glasses/contacts worn?
Clear selection
Has Child had chicken pox?  If yes, please list date and comment.
Has Child had bee sting allergy?  If yes, please list date and comment.
Has Child had head injury/concussion?  If yes, please list date and comment.
Has Child had seizure disorder?  If yes, please list date and comment.
Has Child had heart problems?  If yes, please list date and comment.
Has Child had diabetes?  If yes, please list date and comment.
Has Child had lyme disease?  If yes, please list date and comment.
Has Child had pneumonia?  If yes, please list date and comment.
Has Child had asthma?  If yes, please list date and comment.
Has Child had nose bleeds?  If yes, please list date and comment.
Has Child had skins rashes/eczema?  If yes, please list date and comment.
Has Child had hearing problems?  If yes, please list date and comment.
Has Child had fractures?  If yes, please list date and comment.
Has Child had emotional problems?  If yes, please list date and comment.
Describe any other illnesses/allergies:
List hospitalizations, operations, and/or serious incidents with dates.
Is child presently under the care of a physician?
List any medications your child takes.
Pediatrician's Name and Phone Number:
Family Dentist's Name and Phone Number:
Full Name(s), Date of Birth and Gender of children in family (List oldest first,  INCLUDE each child.)
Military Connected Student
Child's Native Language: *
Language spoken at home: *
What language did Child learn when he/she first began to talk?
What language does the family speak at home most of the time?
What language(s) does the primary caregiver(s) speak to Child most of the time?
What language(s) does Child speak to his/her primary caregiver(s) most of the time?
What language(s) does Child speak to his/her primary brother(s) and/or sister(s) most of the time?
What language(s) does Child speak to his/her primary friend(s) most of the time?
In which language do you wish to receive information from the school?
List any other helpful information.
IMPORTANT NOTICE - PLEASE READ CAREFULLY - SIGNATURE WILL BE TAKEN AT TIME OF REGISTRATION
The North Wildwood School District is proud to offer a high-quality public education to our residents.  The School District also has a very strict residency verification program to protect our community resources.  This program can include, but is not limited to, complete documentation verification, independent investigation by school officials and law enforcement officials, and surveillance.

It is the intent of the North Wildwood School to prosecute, to the fullest extent of the law, any individuals furnishing false information in the accompanying registration forms for the purpose of enrolling non-resident students.

If the student registered is found to be a non-resident, the individual registering said student will be financially responsible for all tuition costs.  Incurring such a liability translates to an approximate cost to the perpetrator of the current tuition rate.  Through legal action, this district has recently been successful in recouping tuition costs from the families of non-resident students.

I certify that I have read and understand the above notice.  Additionally, I agree to pay the school district full tuition cost if the student being enrolled is found to be a non-resident.



___________________________________________________________.          TO BE SIGNED AND
      Signature of Parent/Guardian                                                           DATED AT TIME OF REGISTRATION


__________________________________________                                    
        Date
OFFICE USE ONLY
Date of School Entrance: _____________________________
______  Proof of Custody
______  Withdrawal Form (Pertains to students enrolled in another school during the current school year.   Must include grades at time of withdraw.  New Jersey transfer students must present a transfer card with the NJ STATE ID # for the student.)
______  Birth Certificate (All students must have a state-certified birth certificate, not hospital copy.)
______  Immunization Records (All students entering New Jersey Public Schools are required by law to be immunized prior to the start of classes.  Proof of immunization is required at the time of enrollment and must include the name of the person, the birth date, the type of vaccine administered and the month, day and year of each immunization.)
______  Special Services (A copy of the current Individual Education Plan for students presently receiving a specialized education.)
______  Proof of Residency   Must present at least one of the following:
______  Lease Agreement (Must include name, address and telephone number of the property owner for verification.  It must be original copy, and no altered copies will be accepted.)
______. Property Deed
______. Tax Bill
______. Mortgage Settlement Papers
______. Utility Bill in parent/guardian name at stated address. (North Wildwood/West Wildwood Residents only)
______. Voter Registration Card (North Wildwood/West Wildwood Residents only)
______. U.S. Passport with address (North Wildwood/West Wildwood Residents only)
______  Medicaid, Welfare, or Food Stamp identification card with address. (North Wildwood/West Wildwood Residents only)
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Margaret Mace Elementary School.

Does this form look suspicious? Report

Google Forms