Fargo-Gage 2019-2020 Enrollment
First Name *
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Middle *
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Last *
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Social Security Number *
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Grade *
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Gender *
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Age *
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Date of Birth *
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Birthplace( city and state)
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Primary Language *
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Is the student of Hispanic or Latino culture or orgin? *
Ethnic Group *
Physical Address
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Mailing Address *
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Additional Address(mother/father) *
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Student resides with *
Legal/Custody Papers? Please note, the school must have a copy of the court order on file declaring custody arrangement.
Last School Attended
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Last Grade Completed
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Mother's First and Last Name *
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Mother's Home Phone Number *
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Mother's Cell Phone Number *
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Mother's Street Address *
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Mother's City, State, Zip Code *
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Mother's Email Address
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Mother's Place of Employment
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Mother's Work Phone Number
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Father's First and Last Name *
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Father's Home Phone Number *
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Father's Cell Phone Number *
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Father's Street and or Mailing Address *
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Father's City, State, Zip Code *
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Father's Email Address
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Father's Place of Employment
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Father's Work Phone Number
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Guardian's First and Last Name
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Guardian's Home Phone Number
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Guardians Cell Number
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Guardian's Street Address
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Guardian's City, State, Zip Code
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Student's cell number
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List individuals whom the student is allowed to leave with
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Emergency Contact Name(s) other than parent or guardian *
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Emergency Contact phone number(s) *
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Medical Information *
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Fargo Public Schools is proud to offer a service that allows those interested to receive text messages notifications regarding district news, alerts and updates like weather-related closing/delays, games cancellations, etc. Do you want to subscribe to this service?
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Name(s)
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10 digit number(no dashes)
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2019-20 Handbook Policy Acknowledgement- A copy of the 2019-20 Fargo-Gage School’s Handbook can be found on the school’s website at www.fargo.k12.ok.us. It is located under the Administration tab, by clicking on the Forms & Handbook link. The handbook is available for immediate viewing. Please sign below(by using your initials) acknowledging you received the location of the handbook information. *
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Please identify below whether you give your permission for this student being enrolled to be included in pictures and/or videos taken while attending Fargo-Gage Public Schools. The pictures and/or videos may be released via various forms of media. *A Classroom Usage Agreement form must be signed and on file. *
Student Internet Access Conduct Agreement- Every student, regardless of age, must read or have this read to them, and sign below. I have read, understand, and agree to the terms of the foregoing acceptable use and Internet Safety Policy. Should I commit any violation or in any way misuse my access to the school district's computer network and the internet, I understand and agree that my access privileges may be revoked and school disciplinary action may be taken against me. Initial below *
Your answer
Parent/Guardian- If student applicant is under 18 years of age, a parent or guardian must also read and sign this agreement. As the parent or legal guardian of the above student, I have read, understand, and agree that my child or ward shall comply with the terms of the school district's acceptable Use and Internet Safety Policy for the student's access to the school district's computer network and the internet. I understand that access is being provided to the students for educational purposes only. However, I also understand that it is impossible for the school to restrict access to all offensive and controversial materials, and I understand that my child's or ward's responsibility for abiding by the policy. I am therefore, signing this policy and agree to indemnify and hold harmless the school, the school district, and the Data Acquisition Site that provides the opportunity to the school district for computer network and internet access, against all claims, damages, losses, and costs of whatever kind that may result from my child's or ward's use of his/her access account if and when such access is not in the school setting. I hereby give permission for my child or ward to use the building approved account to access the school district's computer network and internet. *Please note that upon the final process of enrolling a student, actual parent signatures will be gathered acknowledging you have read and accepted the terms of these forms. You will complete this process during enrollment for the child's school. *
Your answer
OSIIS - Authorization to use or share protected health information to school or Day Care. I hereby authorize the Oklahoma Immunization Information System to Fargo-Gage School. *
Please note that upon the final process of enrolling students, actual parent signatures will be gathered acknowledging you have read and accepted the terms of these forms. You will complete this process during enrollment for the child's school. I acknowledge that the information contained in this enrollment packet is accurate. *
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Parent Initials
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