PEASD Enrollment Form

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STUDENT REGISTRATION FORM: To enroll in a school, complete the registration form found below. Scan and email proof residency and a certified birth certificate to the appropriate school office. You may also bring the forms in person. Once the forms have been reviewed and entered into our system you will be able to complete the online enrollment process in Skyward.

STUDENT NAME (Last, First, Middle) *

School

Eagle Elementary School

Palmyra-Eagle Montessori School (4K to 6th Grade)

Palmyra-Eagle Middle/High School

PEASD K-12 Virtual School (District residents only)

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SEX *

GRADE TO ENROLL STUDENT *

BIRTH DATE *

YYYY

CITY, COUNTY AND STATE OF BIRTH *

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