Pacific Grove Middle School: Pre-Registration for 2020-2021 Enrollment NEW STUDENTS
Pre-Registration Form for New Students to Pacific Grove Unified School District.

Note: This form is intended to be completed for NEW STUDENTS ONLY (not for students who are currently attending PGUSD schools). Please DO NOT complete this form if your student(s) has/have been attending PGUSD schools. If you have multiple children who will be attending PGUSD schools next school year for the first time, please complete one form per student. You can visit the other school website(s) to access the pre-registration form for that school.
Student Information
Student's Last Name *
Your answer
Student's Middle Name
Your answer
Student's First Name *
Your answer
Student's Birth Date *
MM
/
DD
/
YYYY
Student's Gender *
Student's Entering Grade *
The grade level that the student will be attending next year
Has your student ever attended any PGUSD K-12 School before? *
If you answered "yes" to the previous question, what was the most recent year of attendance?
Your answer
If you have multiple children planning on attending PGUSD schools next year, please provide their names and grade levels below.
Your answer
Does your student receive Special Education services? *
Does your student have a current IEP (Individualized Educational Plan) and/or 504 plan?
Check all that apply or leave empty.
Has your student ever been suspended or expelled from a previous school? *
If you answered "Yes" to the previous question, please provide a brief explanation of the circumstances of the suspension or expulsion.
Your answer
Household Contact Information
Primary Contact First and Last Name *
The Primary Contact is the student's parent/guardian who's primarily responsible for communicating with and providing/receiving information to/from the school and/or district.
Your answer
Primary Contact Phone *
Your answer
Primary Contact Address *
Note: The primary contact parent/guardian should reside in the Pacific Grove attendance boundary.
Your answer
PGUSD Attendance Boundary
Primary Contact Email *
Your answer
Secondary Contact First and Last Name
Can be the other parent/guardian
Your answer
Secondary Contact Phone
Your answer
Secondary Contact Email
Your answer
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