2024-2025 Northview High School Enrollment
This form is for students who wish to enroll at Northview High School for the 2024-2025 school year.  

*Current students DO NOT need to re-enroll each year.  
*Students entering 9th grade from North Clay Middle School DO NOT need to re-enroll.
*Students may only be enrolled by a PARENT or LEGAL GUARDIAN.  

*Please provide the office with a copy of the student's Birth Certificate and Proof of Residency (*Examples:  Utility Bill, Rental Agreement or Phone Bill.  Must be dated within the last 60 days and must have the parent or legal guardian's name.)  

*If applicable, please provide a copy of legal guardianship/custody paperwork at time of registration.

Email the Registrar, Mercedes Hall, with any questions:  hallmer@clay.k12.in.us 

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Grade Level for 2024-2025 School Year: *
County of Legal Residence *
Has the student ever attended Clay Community Schools?
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If answered "Yes" above, please list the CCS school the student last attended:
Did the student participate in an Athletic Sport at their previous school?  *If yes, please list sport(s)
Student's Legal Last Name *
Student's Legal First Name *
Student's Legal Middle Name
Student's Date of Birth (00/00/0000 *
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Student's Social Security Number (000-00-0000)
Student's Gender *
Primary Phone Number (000-000-0000) *
Has the student received Special Services at their previous school? *
Name and Address of Last School Attended: *
Has the student been suspended, expelled, or had unexcused absences during the last 12 months?  *If yes, please list details below: *
Is this student a Foster Child?  (If yes, legal documentation must be provided to the school.) *
Student Lives With: *
Primary Guardian's Name:  (*If Guardian is someone other than the parent, you must provide legal documentation to the school)
Primary Guardian's relationship to student: *
Primary Guardian's Day Phone Number (000-000-0000): *
Primary Guardian's Home Phone Number (000-000-0000): *
Primary Guardian's Email: *
Primary Guardian's Employer:
Secondary Guardian's Name:
Secondary Guardian's relationship to student:
Secondary Guardian's Day Phone Number (000-000-0000):
Secondary Guardian's Home Phone Number (000-000-0000):
Secondary Guardian's Employer:
Home Address where Student resides:   *
Mailing Address (if different than Home Address):
Sibling First & Last Name(s):
Student's Native Language: *
Is Student Hispanic/Latino? *
Race:  (Choose all that apply) *
Required
Emergency Contact(s) Please list NAME, RELATIONSHIP and PHONE NUMBER:  (May list up to 3 people)
Primary Doctor and Phone Number:
Please list any allergies the student may have:
Please list any medical considerations the student may have:
Please list any medications the student is prescribed:
Will medication need to be given at school?
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Is there anyone, by court order, who should not have contact with this student?  (Legal documentation must be provided to the school.)
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If you answered "YES" to the above question, please provide details below:
Anticipated start date:
Does the student have any class enrollment requests?  *Requests will be taken in to consideration when scheduling, but are not guaranteed.
Name of person enrolling student:  
*Must be a Parent or Legal Guardian*
Relationship to student:  
*Must be a Parent or Legal Guardian*
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