Weston Public Schools Student Registration Form

Contact information for person completing this form:

Email address *

Student Information Section

Legal Last Name *

Your answer

Legal First Name *

Your answer

Legal Middle Name *

Your answer

Gender *

Male

Female

Prefer not to say

Other:

Nickname

Your answer

Birth Date *

YYYY

Birth City/Town *

Your answer

Birth State *

Your answer

Birth County *

Your answer

Birth Country *

Your answer

Home Address (House # and Street) *

Your answer

Home Address (City/Town) *

Your answer

Home Address (State) *

Your answer

Home Address (Zip Code) *

Your answer

Student lives with: *

Father

Mother

Both

Other:

Home Phone Number

Your answer

Citizenship *

Your answer

Visa or Immigration #

Your answer

Hispanic Ethnicity (Check only one) *

Hispanic or Latino

NOT Hispanic or Latino

Race/Ethnicity (Check all that apply) *

American Indian or Alaska Native

Asian

Black or African American

Native Hawaiian or Other Pacific Islander

White

Required

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