CCS Student Enrollment Form
Coloma Community Schools
Has Student attended Coloma Community Schools before? *
Last Name *
Your answer
First Name *
Your answer
Middle Name *
Your answer
Student Date of Birth *
MM
/
DD
/
YYYY
Student Place of Birth *
Your answer
Student Gender *
Is there a current Order of Protection or No Contact Order which concerns this student? *
Custody/Friend of the Court Paperwork? *
PRIMARY HOUSEHOLD - With whom does the child reside? *
Your answer
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