Tewksbury Township School District - Tewksbury Elementary School 2023-2024 New Student Registration
2023-2024 Registration for Incoming Students to Tewksbury Elementary School (TES)

Grades K through 4 - Tewksbury Elementary School
Contact: ecallahan@tewksburyschools.org  908-832-2594 x2001
Pre-K and Special Education
Contact: mchandler@tewksburyschools.org 908-832-2594 x2006

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Email *
We have a tradition of excellence: Tewksbury Elementary School, National Blue Ribbon School, 2011
1. Student Name as it appears on the birth certificate: (Last/First) *
2. Name used to address the student (if different):
3. Student's Physical Address: *
4. Student's Mailing Address (if different):
5. Date of Birth: *
MM
/
DD
/
YYYY
6. Age: *
7. Gender: (Asked in order to comply with federal report guidelines): *
8. Ethnicity: (Asked in order to comply with federal report guidelines):
Check all that apply
White
Black
Hispanic
American Indian/Alaskan
Asian
Native Hawaiian/Pacific Islander
Multiple
9. Home Language Survey:  What was the first language used by the student (native language)? *
10. Home Language Survey: Does the student understand a language other than English (other language)? *
11. Home Language Survey: At home does the student hear or use a language other than English more than half the time? *
12. Home Language Survey: Does the student understand a language other than English? *
13. The original birth certificate of the child must be presented.  A copy will be made and kept on file.   Birth City: *
14. Birth State:
15. Birth Country: *
16. With whom does the child reside? (Only select Guardian or Other if the child does not live with either parent): *
17. If you selected Guardian or Other, please explain:
18. Contact Information: Primary Phone *
19. Parent 1 - First and Last Name
20. Parent 1 - Cell Phone:
21. Parent 1 - Work Phone:
22. Parent 1 - Email Address: *
23. Parent 2 - Firt and Last Name
24. Parent 2 - Cell Phone
25. Parent 2 - Work Phone:
26. Parent 2 - Email Address
27. If the child does not reside with two parents/guardian(s), please provide the contact information for the joint or non-custodial parent:  Address, Phone, Cell Phone, Email
28. Is there a court order regarding the custody of the child? (If yes, the court order must be provided to the school office and a copy will be made and kept on file.  Changes to the court order must be provided as soon as possible to the school.  Note: if the child resides with a relative or friend who is not the parent or guardian, you are required to complete a separate Affidavit Pupil Form): *
29. Proof of residency in Tewksbury Township - three (3) of the following proofs of residency must be presented.  Indicate which three will be provided at registration.  Note: Approved School Choice students must prove residency in their home district.  Note: Alternative documentation of residency will be considered as required by law.
30. Which program are you registering your child for: *
31. Grade your child will be entering: *
32. Did this child attend school previously?: *
33. Has your child ever been referred to or tested by a Child Study Team?: *
34. Does your child have an IEP or been identified as requiring Special Education and Related Services?: *
35. Does your child have a 504 Plan or been qualified under Section 504 of the Rehabilitation Act?: *
36. Name, Address, Phone, and Fax Number of Previous School:
37. Permission to release records:  Permission is granted to release information from the previous school to the Tewksbury Public Schools.  I give permission for the above designated school and/or Child Study Team to send information to the Tewksbury Public Schools. This release includes all pertinent and relevant information in the cumulative file, the health file, and confidential Child Study Team file, where applicable.  The sending school must direct the records to:  Tewksbury Elementary School (grades K to 5th) at 109 Fairmount Road East, Califon, NJ 07830 Phone: 908-832-2594 Fax: 908-832-6296 or Old Turnpike School (Pre-School, Grades 6 through 8th) 171 Old Turnpike Road, Califon, NJ 07830 Phone: 908-439-2010 Fax: 908-439-3160. *
38. Record Release Authorization:  This constitutes approval for seeking records from the previous school. Parent Name/Date
39. Does this child have any health insurance? Please note: NJ FamilyCare provides free or low cost health insurance for uninsured children and certain low income parents.  For more information, call 1-800-701-0710 or visit www.njfamilycare.org to apply online. *
40. Indicate name of health insurance carrier:
 41. Emergency Contact A: Name   (Note: Please provide contact information for a nearby person who can assume temporary care of your child if you cannot be reached.  Please note that two emergency contacts are requested at registration.  You may add as many additional contacts as you would like on the Realtime School Management System.)  
42. Emergency Contact A Relationship (select one):
Clear selection
43. Emergency Contact A -  City/State; Home Phone; Cell Phone; Work Phone
44. Pick-Up Authorization for Emergency Contact A: Is the above person authorized to pick up your child from school?
Clear selection
45. Medical Authorization for Emergency Contact A: In the event of an emergency, is this person authorized to make medical decisions for you?
Clear selection
46. Emergency Contact B Name:
47. Contact B Relationship (select one):
Clear selection
48. Emergency Contact B -  City/State; Home Phone; Cell Phone; Work Phone
49. Pick-Up Authorization for Emergency Contact B: Is the above person authorized to pick up your child from school?
Clear selection
50. Medical Authorization for Emergency Contact B: In the event of an emergency is this person authorized to make medical decisions for you?
Clear selection
51. Student Primary Care Physician Information: Doctor's Name, Address, City/State, Telephone and Fax
52. Required Medical Forms.   Please note that for Grades K through 5, medical questions should be directed to Nancy Morogiello, RN, at Tewksbury Elementary School at 908-832-2594 x2011 or nmorogiello@tewksburyschools.org.
53. SCHOOL HISTORY FOR PRE-SCHOOL OR KINDERGARTEN STUDENTS ONLY - Did your child attend Pre-School? *
54. SCHOOL HISTORY FOR PRE-SCHOOL OR KINDERGARTEN STUDENTS ONLY - Please rate your child's school experiences related to learning thus far:
Clear selection
55. SCHOOL HISTORY FOR PRE-SCHOOL OR KINDERGARTEN STUDENTS ONLY - Do you or your child's previous teacher(s) describe any significant classroom problems.  If so, please explain:
56. SCHOOL HISTORY FOR PRE-SCHOOL OR KINDERGARTEN STUDENTS ONLY - Please provide a brief description of your child.  Include areas you see as strengths and opportunities for growth.
57. SCHOOL HISTORY FOR INCOMING KINDERGARTEN STUDENTS ONLY - May we email you a parent questionnaire to get to know your child better?
Clear selection
58. FOR INCOMING KINDERGARTEN PARENTS: May we email a teacher questionnaire to your child's pre-school teacher to get to know your child better?
Clear selection
59. FOR INCOMING KINDERGARTEN PARENTS: If yes, please provide the pre-school teacher's email address.
60. Can we share your contact information with the following organizations?  (Please check for yes.)
A copy of your responses will be emailed to the address you provided.
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