EFMS - Student Registration Form
School Year 2019 - 2020
Email address *
Dear Parent(s)/Guardian(s),
Thank you for taking the time to fill this form out for your child's upcoming school year. Our goal/hope is to make the paperwork side of registration less time consuming. If you have more than one child on our campus, please fill out one for each child.
Current Date: *
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Parent/Guardian Information
Insert as much information as needed. Example
Mother: Jane Doe
Father: John Doe
* Any additional information related parents/guardians is appreciated.
Mother/Guardian:
Mother/Guardian's Employer:
Mother/Guardian's Work Phone:
Father/Guardian:
Father/Guardian's Employer:
Father/Guardian's Work Phone:
Parent(s)/Guardian(s) Phone #'s (Order of Preference/Availability) *
Parent(s)/Guardian(s) Email Address(es) *
Student's Legal Name: (Last, First, Middle) *
Date of Birth (Student) *
Sex *
Required
Social Security Number *
Student ID# (Lunch #) *
Grade *
Required
Ethnicity: (Check One) *
Required
Physical Address (Street, City, State, Zip) *
Mailing Address: (Only if different from Physical)
Full name & relationship of person(s) with whom student lives, if NOT with parent.
Relationship to Student:
Date of Birth:
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Driver's License #:
Is the student new to Elysian Fields School District? *
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