School District of Slinger 207 Polk St., Slinger, WI 53086, 1-262-644-9615
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SLINGER HIGH SCHOOL 9TH - 12TH GRADE NEW STUDENT REGISTRATION

SLINGER HIGH SCHOOL 9TH - 12TH GRADE NEW STUDENT REGISTRATION:

This form is for students NEW TO THE SLINGER SCHOOL DISTRICT ONLY.  It may be printed and turned into the high school office, or it may be completed and submitted on-line.  Please note that this registration form is lengthy and will require a bit of time to complete.  Also note, please be aware that fees will be collected at a later date.  Thank you!
 

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Grade Student will be entering:

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Student Legal Last Name:

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Student Legal First Name:

Student Legal Middle Initial:

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Student's Date of Birth (mm/dd/yyyy):

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Student's Gender:

Male   Female

Student's Health Data (Please identify any allergies, medical, handicap, or physical condition that school personnel should be aware of):

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Does student receive special services?

Yes   No

If yes, please specify:

LD
ED
CD
S/L
Other

If other, please specify:

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Is the student Hispanic/Latino:

Yes   No
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Student's Ethnicity/Race:  (required for federal reporting only):

(1 required)
American Indian or Alaskan Native   Asian   Black or African American
Native Hawaiian or Other Pacific Islander   White
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What primary language is spoken at home:

English   Japanese   Spanish   Russian   Portuguese   Turkish
Chinese   Dutch   Czech   Finnish   French   German

What additional languages are spoken at home (check all that apply):

English   Japanese   Spanish   Russian   Portuguese   Turkish   Chinese
Dutch   Czech   Finnish   French   German   Other

If other, please specify:

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Enrollment Date (when will student be starting) (mm/dd/yyyy):

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Are you transferring from a different school district?

Yes   No

If yes, what is the name of the prior school district and school?

If yes, what is the name of your school district and school?

Reason for leaving previous school:

Moved   Expelled   Other

If other, please specify.  If expulsion, please explain:

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Are you open enrolling from a different school district?  (Please note, open enrollment candidates must fill out an Open Enrollment Application as well as this form.  An Open Enrollment Application can be found on our District Web Page.)

Yes   No
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Student resides with (this will be considered Family #1) (check all that apply):

(1 required)
Father   Mother   Guardian
Stepmother   Stepfather   Other

If other, please specify:

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Street Address (include PO Box if applicable):

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City, State and Zip Code:

Secondary Guardian Family #2 consists of (if applicable) (check all that apply):

Father   Mother   Guardian
Stepmother   Stepfather   Other

If other, please specify:

Secondary Guardian Family #2 Street Address (if applicable):

Secondary Guardian Family #2 City, State and Zip Code (if applicable):

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Legal Father's Full Name:

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Father's Primary Phone Number (include area code):

Father's Work Phone Number (include area code):

Father's Cell Phone/Pager Number (include area code):

Father's E-mail Address:

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Legal Mother's Full Name:

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Mother's Primary Phone Number (including area code):

Mother's Work Phone Number (including area code):

Mother's Cell Phone/Pager Number (include area code):

Mother's E-mail Address:

Guardianship documentation (if applicable) (please furnish copies of papers to the school):

Court order   Notarized guardianship agreement   Documentation establishing custodial rights

Are copies of report cards and other school mailings to be sent to Secondary Guardian Family #2 (if applicable):

Yes   No


VACCINATIONS:
COMPLETE AND RETURN TO SCHOOL WITHIN 30 DAYS AFTER ADMISSION a Student Immunization Record.  State law requires all public and private school students to present written evidence of immunization against certain diseases WITHIN 30 SCHOOL DAYS OF ADMISSION.  The current age/grade specific requirements are available from schools and local health departments.  These requirements can be waived only if a properly signed health, religious, or personal conviction waiver is filed with the school.  The purpose of this form is to measure compliance with the law and will be used for that reason only.  You will receive a Student Immunization Record form in one of three ways from your school:  At orientation, in person, or mailed to you upon your request. 
 

Student Emergency Contact Information:  In the event that the school is unable to reach either parent, who would you like to designate as the emergency contact for this student?
 

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Name of Emergency Contact:

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Relationship to Student:

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Phone Number (include area code) of Emergency Contact:

Name of Family Physician:

Phone Number (include area code) of Family Physician:

Name of Family Dentist:

Phone Number (include area code) of Family Dentist:

Name of your hospital to contact in case of an emergency:

Phone Number (include area code) of hospital:

In the event of a SCHOOL-WIDE EMERGENCY, we will be using our EMERGENCY MESSAGING SYSTEM.  This system can use direct phone lines only.  It can not call a switchboard.  It can call up to three phone numbers and send an email to one email address.  Please list the phone number(s), including area codes, and email address that you would like to use for our EMERGENCY MESSAGING SYSTEM.  Please note:  Where there is more than one family for the student, please include contact information for both families.
 

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Emergency Contact Phone Number (include area code) for Family #1 (Primary Guardian):

2nd Emergency Phone Number (include area code) for Family #1 (Primary Guardian):

Emergency Contact Phone Number (include area code) for Secondary Guardian Family #2, (if applicable):

Emergency Contact E-mail Address:

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Proof of residency to the school district must be provided to the school office.  Does student reside at the address listed above on a full-time basis:

Yes   No

Registration is not considered complete until you provide the school with two forms of proof of residency.  The following forms would be acceptable:  (Two of these items must be submitted in person at the school's main desk during regular working hours)

Accepted Offer to Purchase   Title   Lease   Property Tax Bill
Rent Receipt   Utility/Phone (not cell) Bill   Driver's License

BIRTH CERTIFICATION:  Please bring an original birth certificate to present to the school for verification purposes. 
 

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Primary Phone Number (include area code):

Email Address:

PARENT/GUARDIAN:  Electronic Signature -- By typing your legal name in the box below, you are electronically stating that you attest that the information provided above is accurate to the best of your ability.

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Legal Name:

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Date Submitted (will be verified by District software):

* Enter Your Email Address:

Type in the text that you see above:

  

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