East Hamilton Middle School
Use this form to register for 6th grade for the 2020-2021 school year!
Email address *
If you have questions about this form, please contact Margay McGee, middle school counselor, at mcgee_margay@hcde.org.
Please watch the following video for instructions on how to complete this form.
Student's Name (Last, First Middle): *
Your answer
Student's School Email Address: *
Your answer
Student's Gender: *
Student's Social Security Number:
Your answer
Student's Birth Date: *
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Is the student Hispanic? *
Student's Race (choose one): *
Name(s) of Legal Guardian(s): *
Your answer
Relationship of Legal Guardian(s) to Student: *
Your answer
Mother/Guardian1: Name *
Your answer
Mother/Guardian1: Cell Phone Number (please include the area code) *
Your answer
Mother/Guardian1: Home Phone Number (please include the area code) *
Your answer
Mother/Guardian1: Employer *
Your answer
Mother/Guardian1: Work Phone Number (please include the area code) *
Your answer
Mother/Guardian1: Email Address *
Your answer
Father/Guardian2: Name *
Your answer
Father/Guardian2: Cell Phone Number (please include the area code) *
Your answer
Father/Guardian2: Home Phone Number (please include the area code) *
Your answer
Father/Guardian2: Employer *
Your answer
Father/Guardian2: Work Phone Number (please include the area code) *
Your answer
Father/Guardian2: Email Address *
Your answer
Mailing Address (please include the city and zip code) *
Your answer
Residence Address (please include the city and zip code) *
Your answer
Name of Previous School: *
Your answer
Please select any service that your child is currently receiving or has received in the past: *
Required
RELATED ARTS COURSES: To ensure that 6th grade students will experience various related arts courses, students will be on a related arts rotation. This rotation may include: art, chorus, computer technology, STEM, health, PE, and introduction to foreign language.
BAND is available as a year-long related arts course. If your child wants to take band, please indicate that below: *
If your child selected to take band, please indicate which section he/she is interested in:
Parent/Guardian Signature (Please type name): *
Your answer
Student Signature (Please type name): *
Your answer
Today's Date: *
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If you have questions, email Mrs. McGee (middle school counselor) at mcgee_margay@hcde.org.
A copy of your responses will be emailed to the address you provided.
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