New Student Enrollment Request
Please fill out to the best of your ability. This registration request form and does not guarantee registration. Once our office reviews your information, we will be in contact with you to schedule an appointment with our school counselor. Preston Jr. High School 7:30am-4:30pm 208-852-0751
Does your student have a 504 or an IEP
*
504
IEP
Neither
Student Grade Level
*
6
7
8
Student's Full Legal Name
*
First Name
Middle Name
Last Name
Student Date of Birth
*
-
Month
-
Day
Year
Date
Student's Gender
*
Female
Male
Home Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
2nd Mailing Address (ex. 2 parent homes)
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Residency
*
Homeowner
Living with Relatives
Renting
Any medical issues we should be aware of?
Is the student a dependent of a military connected parent/guardian?
*
Not military connected
Active duty
National Guard or Any Military Reserves
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Is your student Hispanic or Latino?
*
Please Select
yes
no
What is the student's race?
*
American Indian
Asian
Black
Hispanic
Native Hawaiin
White
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Mother's Name (list relationship if other)
*
Full Name
Relationship
Phone Number
*
Please enter a valid phone number.
Mother's email
*
example@example.com
Father's Name (list relationship if other)
Full Name
Relationship
Phone Number
Please enter a valid phone number.
Father's email
example@example.com
Emergency Contact Information
Preston School District doesn't provide any accident insurance for students. Measures will be taken to contact guardians in an emergency. If necessary, your child will be sent to the ER via ambulance at guardian expense.
Emergency Contact #1
*
Full Name
Relationship
Phone Number
*
Please enter a valid phone number.
Emergency Contact #2
*
Full Name
Relationship
Phone Number
*
Please enter a valid phone number.
Anyone NOT allowed to pick up your student?
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Statewide Home Language Survey
The Idaho State Department of Education and the Office for Civil Rights requires the students' languages are identified. This survey's purpose is to determine whether they are potentially eligible for language services.
What language(s) are spoken at home?
*
What language(s) does your student speak most often?
*
What language(s) did your student first learn?
*
What language does your child speak with you?
*
Which language do you use when speaking with your child?
*
What language would you like phone calls and letters?
*
What is your relationship to the child?
*
Migrant Education Program (Parent Employment Survey)
The information you provide below is used to identify students who may qualify to receive any additional educational services. A program employee may contact you for further information if needed. All information you provide is kept confidential.
In the past 3 years, had your family lived in another school district? This includes other school districts in Idaho, other states, or countries.
*
Yes
No
In the past 3 years, has anyone in your household had a job working with any of these products? (not including your own property)
*
Any crops (ex: corn, potatoes, beans, wheat, etc.)
Any livestock (ex: cattle, pigs, chickens, etc.)
Processing agricultural products (ex: sorting, packing, cutting of onions, potatoes, meat, etc.)
Other agriculture (forestry, nursery plants care, fishing, etc.)
None of the above
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Previous School Information
Please put the most recent school attended so we can have records to enroll your student into the proper classes.
Name of previous school attended
*
Address of previous school
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number of Previous School
*
Please enter a valid phone number.
Fax of Previous School
Please enter a valid phone number.
Authorizations
By signing this form, you agree that all the information provided is true. If it is determined that you have provided is false, you ackknowledge that your student may be removed from school immediately.
Signature of Parent/Guardian
*
Today's Date
*
-
Month
-
Day
Year
Date
Appointment
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Should be Empty: