Watertown eCampus Student Intent to Enroll Form
A Student Intent to Enroll form must be completed in its entirety for each student you wish to enroll. The purpose of this form is to assist district personnel with planning and preparation in order to provide the best possible support for our students.

Please note that submission of this form does not legally bind you to enroll your student. All families who submit this form will receive notification of next steps. Each family will be contacted with further information about enrollment.

Please fill in all fields.

Student First Name *
Your answer
Student Last Name *
Your answer
Gender *
Required
Date of Birth *
MM
/
DD
/
YYYY
Current Grade Level *
Street Address *
Your answer
City, State Zip *
Your answer
Language Spoken at Home *
Your answer
Ethnicity (must choose one) *
Required
Federal Race (must select one or more of the following that apply to this student) *
Required
Resident School District *
Your answer
Current School *
Your answer
Enrollment Information
Are you interested in enrolling for this current year or next school year? *
If you are not a current Watertown Unified School District student, have you registered to attend our district? *
Are you interested in Full Time or Part Time online enrollment? *
Form is being completed by: *
Contact Information
Parent/Guardian First Name *
Your answer
Parent/Guardian Last Name *
Your answer
Relationship to student *
Your answer
Home Phone Number *
Your answer
Cell Phone Number *
Your answer
Work Phone Number *
Your answer
E-mail *
Your answer
Preferred Way to be Contacted *
Required
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