Out of District Enrollment Form for 22-23
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1. List all students' Name (Last, First, Middle) *
List ALL students' that you have applying to attend Bardstown City Schools
2. List all students' birthday *
List the birthday for all students - mm/dd/year
3. List the status of all students *
Required
4. The student(s) will be in which grade(s) for the 22-23 year? *
Required
5. In which school district is your child(ren) currently enrolled? *
6. Does this student(s) have an Individual Education Plan (IEP)? *
7. Does this student have a 504 Plan? *
8. Does this student receive any special services while at school? *
If yes, please briefly describe which student and what service the student receives.  
9. Has the student(s) ever been suspended or had other behavior issues in school? *
If yes, please briefly describe below.
10. Has this student(s) had any issues with regular school attendance? *
If yes, please briefly describe below.
11. Please briefly describe the students' academic performance in school? *
12. Please briefly explain the reason(s) for your out-of-district request below. *
13. Students' Primary Address *
The full address where the student is living, including zip code.
14. Parent/Guardian Name (Last, First, Middle) *
I declare that I am the parent or legal guardian of student applying
15. Parent/Guardian Primary Phone Number *
16. Parent/Guardian email address *
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