Sulphur Elementary Enrollment Form
Please use this form to enroll students for PK, K, 1st and 2nd grades.
Email address *
Student Full Name *
Student Full Legal Name (if different from above)
Grade Entering *
Today's Date *
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Date of Birth *
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Age *
Place of Birth (City, State) *
Gender *
Student's Physical Address (include city and state) *
Student's Mailing Address (if different from above-include city and state)
Do you live more than 1.5 miles from Sulphur Elementary? *
What bus does student ride?
Clear selection
Name, City and State of School Last attended
Male Adult with whom student resides *
How is male adult related to student? *
Male Adult Cell Number *
Male Adult Email Address
Male Adult Employer *
Male Adult Work Number
Female adult with whom student resides *
How is female adult related to student? *
Female Adult Cell Number *
Female Adult Email address
Female Adult Employer *
Female Adult Work Number
If student's parents are divorced or separated, please indicate who has primary custody. You must submit a copy of custody papers to the office.
#1 Other Contacts-Please list anyone-other than custodial parents-that we may contact in an emergency OR that may pick up your child. Please list person's name and phone number. *
#2 Other Contacts-Please list anyone-other than custodial parents-that we may contact in an emergency OR that may pick up your child. Please list person's name and phone number. *
#3 Other Contacts-Please list anyone-other than custodial parents-that we may contact in an emergency OR that may pick up your child. Please list person's name and phone number.
#4 Other Contacts-Please list anyone-other than custodial parents-that we may contact in an emergency OR that may pick up your child. Please list person's name and phone number.
After school babysitter or daycare information (name and phone number)
Is student of Hispanic/Latino culture or origin? *
What is student's race? *
Required
Are there any languages other than English spoken in the home? *
If yes, please indicate language
Medical Needs in which teacher/school should be aware
Does child take medications? If needed at school, please fill out form for medication administration.
Does child wear glasses?
Clear selection
Does child wear hearing aides?
Clear selection
Family Educational Rights and Privacy Regulations (FERPA): Directory Information The Sulphur School District proposes to designate the following personally identifiable information contained in a student’s education record, as “directory information”, and it will disclose that information without prior written consent. 1. The student’s name 2. The names of the student’s parents 3. The student’s date of birth 4. The students' class designation (i.e. first grade, tenth grade, etc.) 5. The students extracurricular participation 6. The student’s achievement awards or honors 7. The student’s weight and height of a member of an athletic team 8. The student’s photograph 9. The school or school district the student attended before he or she enrolled in the Sulphur School District. Within the first three weeks of each school year, the Sulphur School district will publish in the Sulphur Times Democrat the above list, or a revised list, of the items of directory information it proposes to designate as directory information. For students enrolling after the notice is published, the list will be given to the student’s parent or the eligible student at the time and place of enrollment. After the parents or eligible students have been notified, they will have two weeks to advise the school district in writing (a letter to the school superintendent’s office) of any or all of the items they refuse to permit the district to designate as directory information about that student. At the end of the two-week period each student’s records will be appropriately marked by the records custodian indicating the items the district will designate as directory information about that student. This designation will remain in effect until it is modified by the written direction of the student’s parent or the eligible student. To serve as your “letter to the superintendent” expressing your decision regarding your student’s information, please indicate on the provided form your decision regarding directory information. You may return this letter to the principal’s office. If you have any questions, please contact the school at 622-3326. *
If you selected specific release of specific directory items list here:
Field Trip Permission - Student's supply fee must be paid in full in order to attend field trips. *
Does your student have older siblings? (List brothers and sisters)
Does your student have younger siblings? (List brothers and sisters)
A copy of your responses will be emailed to the address you provided.
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