Documents required at enrollment:
(Not required if student was enrolled at P-W Elementary, St. Joseph-Pewamo, or St Mary-Westphalia the previous school year.)
Note: Please answer both parts of the ethnicity and race sections below. Regardless of what you select for ethnicity, please select one or more boxes to indicate what you consider your student's race to be. If either part is not answered, the US department of Education requires the school district to submit an answer on your behalf.
Student Primary Household Resident
Male head of household
Female head of household
If yes, the bus will be routed to and from the student's primary address unless there is a Transportation Request Form on file with the P-W Transportation Department. That can be found on the on the same Forms page where you located this form, and also on the Transportation page of our website.
Michigan law allows student information to be shared with both parents, regardless of marital status, unless the school district has a court order dictating otherwise on file.
Secondary household information
Does the student have a parent at a second residence? If yes, fill out the information on this page.
Male head of secondary household
Female Head of Secondary Household
Please note: All medications taken at school must follow Michigan Law, which requires schools to have a written physician's order and parent/guardian authorization. Medical authorization forms are available at school or on our website
Emergency Contact Information
In case of an emergency, please number the order of priority that each should be called:
When a parent/legal guardian cannot be reached, please provide contact information for a family member or friend who may be contacted.
List other children enrolled at P-W Community Schools.First Name Last NameGender Date Grade Relationship to student
First Name Last NameGender Date of birth Grade Relationship to student
In case of serious illness or injury, I hereby request that authorized school personnel transport my child directly to the hospital, or send an ambulance if needed, and I will assume all financial obligations. I further authorize any licensed physician, dentist, and/or hospital to provide necessary treatment. I understand this health information can be shared when it is educationally relevant for academic progress, necessary for providing health services, including emergency care, or essential to ensure the protection of other students and school personnel.
As the parent/guardian, my signature affirms that information provided within this form is true and accurate, and that my child and I reside at the stated address. I understand false information provided by me, may be subject to legal penalties for perjury.