Hoosac Valley Regional School District NEW Student Registration Form (Submit One Form Per Student)
CURRENT Hoosac Valley Regional School District students DO NOT need to register for the next grade level in the Fall.

If you have any questions, trouble with the form, or if it's more convenient for you to contact HVRSD directly, please call Lisa Bresett at 413-743-2939 or email LBresett@hoosacvalley.org.

If you are registering your child for the remainder of the current school year, please call Lisa Bresett at 413-743-2939.

*** PLEASE NOTE: Kindergarten does not have this class size restriction, however, FOR BOTH grades, daycare waivers cannot be approved until August. ***
Email *
What school year is this student being enrolled in? *
What grade level is this student being enrolled in? *
Required
Has this student ever attended one of the HVRSD Schools in the past? *
If you answered YES, what school, and when? (Skip if you answered NO)
If this student is transferring from another school, please tell us the name and address of that school.
Student's Last Name *
Student's First Name *
Student's Middle Name (if no middle name please enter NMN) *
Student's Date of Birth *
MM
/
DD
/
YYYY
City or Town of Birth *
Gender *
Student Ethnicity - Is the student Hispanic or Latino? *
Student Race: (Please check ALL that apply) *
Required
Primary Home Phone Number - please use dashes (xxx-xxx-xxxx) *
Street Address *
City *
State *
Who does the student live with? Check the best answer, and then fill in the following parent contact information sections as applicable. (scroll down several places for Guardian information if student does not live with parents) *
Required
Parent 1 or Mother's Name (Last, First)
Parent 1 or Mother's Full Address (if different from Student)
Parent 1 or Mother's Home Phone Number - please use dashes (xxx-xxx-xxxx)
Parent 1 or Mother's Cell Phone Number - please use dashes (xxx-xxx-xxxx)
Parent 1 or Mother's Daytime/Work Phone Number - please use dashes (xxx-xxx-xxxx)
Parent 1 or Mother's Email Address
Parent 2 or Father's Name (Last, First)
Parent 2 or Father's Full Address (if different from Student)
Parent 2 or Father's Home Phone Number - please use dashes (xxx-xxx-xxxx)
Parent 2 or Father's Cell Phone Number - please use dashes (xxx-xxx-xxxx)
Parent 2 or Father's Daytime/Work Phone Number - please use dashes (xxx-xxx-xxxx)
Parent 2 or Father's Email Address
If Student does not live with Parent(s), Name of Legal Guardian (Last, First)
Legal Guardian's Full Address
Legal Guardian's Home Phone Number - please use dashes (xxx-xxx-xxxx)
Legal Guardian's Cell Phone Number - please use dashes (xxx-xxx-xxxx)
Legal Guardian's Daytime/Work Phone Number - please use dashes (xxx-xxx-xxxx)
Legal Guardian's Email Address
Does Student have any siblings that already attend HVRSD Schools?
Clear selection
Please List Full Name(s) and Grade Level(s) of Sibling(s) who already attend HVRSD Schools
Please provide full names, phone numbers and relationship to this student, of at least 2 other Emergency Contacts - OTHER THAN PARENT(S)/GUARDIAN(S) - that the school may call if not able to contact you in an emergency to pick up your child. *
Academic Information: Please check ALL applicable boxes below, and be prepared to provide copies, if noted.
Is this student involved with any other outside agencies? If YES, explain below.
Are there any behavioral concerns that may affect school progress? If YES, explain below. Also include if student has been suspended or expelled in the last 3 years.
Has this student had any criminal violations in the last 3 years? If YES, please explain below. Include name of school they were attending at the time, charge(s) of suspected act(s), and any court actions.
We will need the following documents to complete enrollment: certified copy of birth certificate, immunizations, proof of residency such (i.e. utility bill), parent photo ID. Do you have the ability to take a clear picture or scan/copy and email these documents to the school district? If you do not, other arrangements for submitting these documents will be made. *
By typing my name below, I certify that the responses provided are accurate and complete as specified by Massachusetts General Law. I understand that failure to disclose or to misrepresent any of the required information may result in my student's exclusion from Hoosac Valley Regional School district. I have read and understand the registration and residency requirements of the Hoosac Valley Regional School district and I am aware that it is my obligation to inform my child's school if there is a change in the residency of my family or guardianship of my child. * *
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