Out of District Request Form
Please complete the following form for each student you wish to attend USD 473 schools for the 2017-2018 school year.
Student's Legal Name
First Name *
Your answer
Last Name *
Your answer
Previous School(s)
Is the student new to the district *
What grade level is your student entering *
Your answer
Please list all other schools attended this past year *
Your answer
Has the student been suspended or expelled *
Parent Information
Parent's or Lawful Custodian's Name *
Your answer
Address or Legal Residence
Street *
Your answer
City *
Your answer
State *
Your answer
Zip *
Your answer
Home Phone *
Your answer
Business Phone
Your answer
Additional Information
Please provide reason(s) your child wishes to attend USD 473:
Your answer
USD 473 will assign Out-of-District students to an elementary attendance center based on the extent that staff, faculty, equipment and supplies are available. BOE Policy JBC
By clicking 'Submit', the undersigned parent or lawful custodian acknowledges that the statements and information above are true and correct; that this request, if approved, will be valid only for the school year indicated above; and agrees to abide by the provisions of the Board Policy. We do hereby acknowledge that we reside outside the district boundaries and it is understood that it is our responsibility to meet a USD 473 bus on an established bus route to the Attendance Center or provide our own Transportation.
Submit
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