New Student Registration 2018-2019
Welcome to Sunset Ridge District 29. Completing this form initiates the registration process. Please review all information before you submit. You may contact the building principals if you have any questions: Dr. Mary Frances Greene at Middlefork School (greenem@sunsetridge29.org; 847.881.9505) or Dr. Ivy Sukenik at Sunset Ridge School (sukeniki@sunsetridge29.org; 847.881.9472). Technology related questions may be directed to Mrs. Sheri Styczen, Director of Technology & Innovation (styczens@sunsetridge29.org; 847.881.9458).
STUDENT INFORMATION
Student Legal First Name *
Your answer
Student Legal Middle Name
Your answer
Student Legal Last Name *
Your answer
Student Nickname (name to be called at school)
Your answer
Gender *
Date of Birth (mm/dd/yyyy) *
Your answer
Are you currently a resident of District 29? *
District 29 Street Address *
Your answer
City *
Your answer
State *
Your answer
Zip Code *
Your answer
Current Mailing Address (if NOT residing in District 29)
Your answer
SCHOOL INFORMATION
Enrolling In *
Grade (18-19) *
If newly enrolling, include name and address of school last attended.
Your answer
Does the student have a history of receiving Special Education Services (IEP) or a 504 Plan? *
ETHNICITY AND RACE REPORT
The U.S. Department of Education has issued new guidance on the collection and reporting of race and ethnicity data for public school students and staff. The guidance implements new federal race and ethnicity categories that were developed to obtain a more accurate picture of the nation’s diversity. The new data collection process requires respondents to answer a two-part question, indicating ethnicity first and then one or more of five races. (In the past, individuals were allowed to choose only one race or ethnicity category.)

This form is to be filled out by the student’s parents or guardians, and both questions MUST be answered. Part A asks about the student’s ethnicity and Part B asks about the student’s race.

Is the student Hispanic / Latino? *
The question above is about ethnicity, not race. No matter which answer you selected, continue and respond to the next question by selecting from one or more of the options below to indicate what you consider this student’s race to be.
Race (choose one or more) *
Required
Is there another language spoken at home BESIDES English? *
If yes, what is the other language?
Your answer
Does your child SPEAK a language other than English? *
If yes, what is the other language?
Your answer
PARENT/GUARDIAN SECTION
At least one parent or guardian's information is required.
Parent 1 Full Name (last, first) *
Your answer
Parent 1 Mailing Address
Parent 1 Mailing Address (if different from student)
Your answer
Parent 1 Primary Phone (xxx-xxx-xxxx this number will be called 1st in an emergency)
Your answer
Parent 1 Email
Your answer
Parent 2 Full Name (last, first)
Your answer
Parent 2 Mailing Address
Parent 2 Mailing Address (if different from Parent 1)
Your answer
Parent 2 Primary Phone (xxx-xxx-xxxx this number will be called 2nd in an emergency)
Your answer
Parent 2 Email
Your answer
Separated or Divorced Parents: Please indicate your current custodial arrangement below.
Special Notes re: Custody
Your answer
Is a copy of custody agreement on file at the school?
GUARDIAN INFORMATION (Non-Parent)
Guardian Name (last, first)
Your answer
If guardian, please explain custodial arrangement for child.
Your answer
Is a copy of guardianship documentation on file at the school?
NON-CUSTODIAL PARENT INFORMATION
Name of Non-Custodial Parent (last, first)
Your answer
Full Address of Non-Custodial Parent
Your answer
**Upon request, non-custodial parent may receive school mailings and be permitted to pick up children from school unless court ordered custody agreement states otherwise.
FAMILY INFORMATION
Names & Birthdates of Siblings (mm/dd/yyyy)
Your answer
Name(s) and relationship(s) of other adult(s) who reside with the child.
Your answer
ADDITIONAL EMERGENCY CONTACT INFORMATION
Please list local contacts who are authorized to take responsibility for this student if you cannot be reached. Every effort will be made to contact parents/guardians in case of illness, accident, emergency condition or school closure.
Additional Emergency Contact 1 (last, first)
Your answer
Relationship to Student
Your answer
Full Address
Your answer
Phone Number (xxx-xxx-xxxx)
Your answer
Additional Emergency Contact 2
Your answer
Relationship to Student
Your answer
Full Address
Your answer
Phone Number (xxx-xxx-xxxx)
Your answer
MEDICAL INFORMATION
Doctor's Name
Your answer
Doctor's Phone (xxx-xxx-xxxx)
Your answer
Are there any current or recent family circumstances that would be important for us to know about?
Your answer
Student Food Allergies
Your answer
Student Medication Allergies
Your answer
Student Medication Conditions
Your answer
Other Allergies
Your answer
Medications Taken at School
Your answer
Medications Taken at Home
Your answer
Please check this box if you agree to allow health staff to share medical information with school staff, as needed.
Please click on this link to complete the downloadable forms if you have not done so: https://goo.gl/ejKYXP.
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