2023-2024 Student Registration

It is your responbility to notify us in writing of any changes in regards to this information.
Information on this form will be considered current unless otherwise notified.
Student Registration Information

Hamilton Community Schools
Enter your code in the box below to prefill most form fields with documented information. If you did not receive any access code, disregard this instruction and continue to fill the form. Note: Even upon autofilling data, you will still need to complete additional fields.
Auto-Fill Code

Parent/Guardian Information
Parent/Guardian 1 Information

This parent/guardian is considered the first contact for school correspondence and information.
P1. Name

First NameLast Name
P1. Home Phone Number
Please enter a valid phone number.
P1. Cell Phone Number
Please enter a valid phone number.
P1. Email
example@example.com
P1. Street Address
P1. Street Address Line 2
P1. City
P1. State
P1. Zip Code
P1. Occupation
P1. Work Phone Number
Please enter a valid phone number.
P1. Employer
P1. Employer Phone Number
Please enter a valid phone number.
Parent/Guardian 2 Information
P2. Name

First NameLast Name
P2. Home Phone Number
Please enter a valid phone number.
P2. Cell Phone Number
Please enter a valid phone number.
P2. Email
example@example.com
P2. Street Address
P2. Street Address Line 2
P2. City
P2. State
P2. Zip Code
P2. Occupation
P2. Work Phone Number
Please enter a valid phone number.
P2. Employer
P2. Employer Phone Number
Please enter a valid phone number.
P2. Would you like to add another parent?

Yes
Parent/Guardian 3 Information
P3. Name

First NameLast Name
P3. Home Phone Number
Please enter a valid phone number.
P3. Cell Phone Number
Please enter a valid phone number.
P3. Email
example@example.com
P3. Street Address
P3. Street Address Line 2
P3. City
P3. State
P3. Zip Code
P3. Occupation
P3. Work Phone Number
Please enter a valid phone number.
P3. Employer
P3. Employer Phone Number
Please enter a valid phone number.
P3. Would you like to add another parent?

Yes
Parent/Guardian 4 Information
P4. Name

First NameLast Name
P4. Home Phone Number
Please enter a valid phone number.
P4. Cell Phone Number
Please enter a valid phone number.
P4. Email
example@example.com
P4. Street Address
P4. Street Address Line 2
P4. City
P4. State
P4. Zip Code
P4. Occupation
P4. Work Phone Number
Please enter a valid phone number.
P4. Employer
P4. Employer Phone Number
Please enter a valid phone number.

Emergency Contacts
Emergency Contacts

These contacts are parent substitutes who will be permitted to pick up your child in case of an illness or emergency. Contacted in order of appearance.
Emergency Contact #1 Information
C1. Name

First NameLast Name
C1. Relationship to Student
C1. Phone Number
Please enter a valid phone number.
C1. Is the number entered above a cell phone number?

YesNo
Emergency Contact #2 Information
C2. Name

First NameLast Name
C2. Relationship to Student
C2. Phone Number
Please enter a valid phone number.
C2. Is the number entered above a cell phone number?

YesNo
Emergency Contact #3 Information
C3. Name

First NameLast Name
C3. Relationship to Student
C3. Phone Number
Please enter a valid phone number.
C3. Is the number entered above a cell phone number?

YesNo
List anyone who is NOT PERMITTED to pick up your child from school in the event of an emergency:
If applicable, separate names by entering a new line.

Military Children in Education
Military Children in Education
A student is connected to an Active Duty military family if he/she, a school-aged child enrolled or in the process of enrolling in KG-12th grade, is claimed as a dependent by an Active Duty member of the Armed Forces of the United States; or the student and an Active Duty member(s) are of the same household whether or not the active duty member(s) claims the student as a dependent.

"Active Duty" means: full-time duty status in the active uniformed service of the United States.
Is your student connected to an Active Duty military family?

YesNo
A student is connected to a Guard or Reserve military family if he/she, a school-aged child, enrolled or in the process of enrolling in KG-12th grade, is claimed as a dependent by a member of the National Guard or Reserve; or the student and National Guard or Reserve member(s) are of the same household whether or not the National Guard or Reserve member(s) claims the student as a dependent.

"National Guard or Reserve" means: members of the Reserve Component as defined in 10 U.S.C. Section 10101. Includes Army National Guard of US, Army Reserve, Navy Reserve, Marine Corps Reserve, Air National Guard of US, Air Force Reserve or Coast Guard Reserve.
Is your student connected to a Guard or Reserve military family?

YesNo

Student Vehicle Registration
Student Vehicle Registration
Student's License Number
V1. Make
V1. Model
V1. Year
V1. Color
V1. License Plate Number
V1. Will your child be driving an additional vehicle to school?

Yes
V2. Make
V2. Model
V2. Year
V2. Color
V2. License Plate Number
V2. Will your child be driving an additional vehicle to school?

Yes
V3. Make
V3. Model
V3. Year
V3. Color
V3. License Plate Number

Sign, Review, and Submit
Sign Form
Parent - Please type name to sign:*
Parent Initials:
Student - Please type name to sign:*
Signature Date

MonthDayYear
Date
Signature Time

Hour Minutes

AM/PM Option
School Name
Student FULL Name (Combined Format)
Student Gender (Written Format)
Siblings (Written Format)
P1 Name (Combined Format)
P2 Name (Combined Format)
EC1 Name (Combined Format)
EC1 Cell? (Written Format)
EC2 Name (Combined Format)
EC2 Cell? (Written Format)
EC3 Name (Combined Format)
EC3 Cell? (Written Format)
Name of Student's Doctor (Combined Format)
Name of Student's Dentist (Combined Format)
Hospital Preference (Written Format)
Medical Conditions (Written Format)
Student Ethnicity (Written Format)
ST. Street Address (Lines 1 + 2)
ST. Street Address (Combined Format)
P1. Street Address (Combined Format)
DR. Street Address (Combined Format)
Print Home Language Survey form?
Print Student Vehicle Registration form?
Print Military Children in Education form?
School Year
Should be Empty:

Student Registration Information

Student Information

Student Household Information

Home Language Survey

Transportation

Alternative AM/Pick-up

Alternative PM/Drop-off

Parent/Guardian 1 Information

Parent/Guardian 2 Information

Parent/Guardian 3 Information

Parent/Guardian 4 Information

Emergency Contacts

Emergency Contact #1 Information

Emergency Contact #2 Information

Emergency Contact #3 Information

Medical Information

C.H.I.R.P. Consent

List all medications the student is currently taking:

Work Survey

Military Children in Education

Student Vehicle Registration

Sign Form