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Student Enrollment Form

Student Enrollment Form
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Thompson Falls Public Schools

1.Immunization records are required. A student may not enroll without presenting them to the office.

2.Proof of withdrawal from the sending school is required. Copy of checkout with or without grades will be accepted.

3. Parent or Legal Guardian must complete and sign form.
Submitters Email
required
New or Returning Student to Thompson Falls?
required
New
Returning
School Last Attended
required

Put n/a if the student hasn't attended school before.
School Phone
required

Put n/a if the student hasn't attended school before.
School Email
School Address
required

Put n/a if the student hasn't attended school before.
Birth Certificate

Optional

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Immunization Records

Optional

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Student Information
First Name
required
Middle Name
Last Name
required
Nickname
Full Name
Grade
required
Age
required
Gender
required
Male
Female
Birth Date
required

Race/Ethnicity Reporting

Guidance on Race/Ethnicity Montana Office of Public Instruction (OPI) Race/Ethnicity Reporting Form

A change has been made to the reporting of race and ethnicity in educational data to better reflect the country’s growing diversity. The change will take place in the 2010-2011 school year and will require all students to be identified using a new two-part race/ethnicity question. The federal government has established the two-part question to recognize Hispanic ethnicity and race as two separate and distinct concepts. Additionally, the change allows the reporting of multiple races (American Indian or Alaska Native, Asian, Black or African American, Native Hawaiian or Other Pacific Islander, White).

Note: Failure to answer both questions will result in use of prior racial/ ethnic data or an observer identifying for you.

Identify the ethnicity and race of the individual by answering BOTH questions.
Part 1. Is the individual Hispanic or Latino? (Choose only one)
required
No, not Hispanic or Latino
Yes, Hispanic or Latino
Part 2. What is the individual's race? (Choose one or more races below)
required
American Indian or Alaska Native
Asian
Black or African American
Native Hawaiian or Other Pacific Islander
White
Student Cell Phone
School Enrolling In
required
K-6 Elementary
7-8 Junior High
9-12 High School
Has the student ever been suspended/expelled by another district?
required
Yes
No
Is the address of the parent/legal guardian's legal residence outside of the Thompson Falls School District boundaries?
required
Yes, complete FP-14
No

Out of district students must complete the FP-14 Agreement. Click on the link below to complete.
Upload FP-14 Form Here

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Who does student live with?
required
No results found
Father
Mother
Legal Guardian
Other
If other, who does student live with?
required
Mailing Address
required
Street Address
required
City
required
State
required
No results found
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Zip Code
required
Parent/Guardian Information
Select One
required
No results found
Father
Mother
Step-Father
Step-Mother
Legal Guardian
Other
First Name
required
Last Name
required
Mailing Address
required
Physical Address
required
City
required
State
required
No results found
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Zip Code
required
Email
Cell Phone
required
Home Phone
Work Phone
Are you in a transitional living situation (homeless, living with family or friends, etc)?
required
Yes
No
Will the student ride the bus?
required
Yes
No

Emergency Contact (if parents/guardian are not available):
Emergency Contacts
Emergency Contact
required
Emergency Contact Phone
required
Does the student have an IEP?
required
Yes
No
Does the student have a 504 plan?
required
Yes
No
MILITARY CONNECTION: Is the student a dependent of an active duty member of: The US Military, Active Duty National Guard, Active Duty Reserve Force of the US Military, Transitioning out of Active Duty to National Guard or Reserve?
required
Yes
No
ENGLISH LANGUAGE LEARNERS: What was the first language learned by the student?
required
What language(s) does the student currently use in the home?
required
Is there any health related information about your student that the school needs to be aware of?
required
Yes
No
Please describe your student's health condition(s). If your student requires medication during the school day please contact the office.
required
Please list any know allergies for your student.
required
Doctor
Dr.'s Phone
Dentist
Dentist's Phone

IN CASE OF INJURY, IF PARENT OF EMERGENCY CONTACT CANNOT BE REACHED, I GIVE PERMISSION FOR THE SCHOOL TO TAKE MY CHILD TO THE DOCTOR/DENTIST, CALL THE AMBULANCE OR DO WHATEVER IS DEEMED NECESSARY. I UNDERSTAND THE SCHOOL DOES NOT CARRY INSURANCE COVERAGE FOR STUDENTS.
Parent/Guardian Signature
required
Draw your signature in the area above, or use the saved signature button if available.
Date
required
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