2023 -2024 Open Enrollment
Interdistrict Open Enrollment Application
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Parent Email Address *
Parent Phone Number *
Student First Name *
Student Last Name *
Student date of birth *
Parent/Guardian First Name *
Parent/Guardian Last Name *
Mailing address *
City *
 State *
Zip Code *
District of residency *
Current School attended *
Ethnicity *
City of birth *
Grade level for school year requested *
Is student presently enrolled In any special education or tutorial programs? *
Legal guardian(s} *
Reason for open enrolling your child *
Parent Signature (Please type in the Parent Name) *
I hereby authorize release of records from present school of attendance *
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