PRE-REGISTRATION - BVUSD 2025

BVUSD PRE-REGISTRATION

WELCOME & THANK YOU FOR YOUR INTEREST IN THE BENNETT VALEYY UNION SCHOOL DISTRICT!

Transitioning to a new school is a big step for both children and their families, and we look forward to building a strong partnership in the years ahead.

We’re here to support you every step of the way.

If you have any questions or need assistance, please don’t hesitate to contact any of our offices (see contact info above).

__________

BEFORE BEGINNING

#1 Visit bvusd.org/enroll for more information & resources

#2 Collect all applicable forms for your student
THERE IS NOTHING TO ENTER ON THIS PAGE.

SELECT THE ' NEXT ' BUTTON TO PROCEED ↓

STUDENT LEGAL NAME & DATE OF BIRTH*

FULL LEGAL LAST NAMEFULL LEGAL FIRST NAMEDATE OF BIRTH (MM/DD/YYYY)
SECTION 10 - HOUSEHOLD SIZE & INCOME

A response is required to the following three (3) questions, but families are not required to disclose income level - and may decline to state.
(10.A) - ENTER HOUSEHOLD SIZE*
SEE CHARTS BELOW FOR GUIDANCE
(10.B) - ENTER TOTAL GROSS MONTHLY HOUSEHOLD INCOME / (you may enter 'decline to state' - but we still encourage you to complete the online application at the bottom - if there is any possibility you may be eligible)*
(10.C) - ARE YOU ELIGIBLE? (see chart)*

YES ➜ please complete application belowMAYBE ➜ please complete application belowNO - I do not qualify ➜ online application below is not necessaryDECLINE TO STATE ➜ please consider completing the application below, if you may be eligible
IMPORTANT APPLICATION!

If you qualify (or may be eligible):

We strongly encourage you to complete the brief online application.

APPLY

APPLICATION

REQUIRED ANNUALLY

(for each school year)

STUDENT LEGAL NAME & DATE OF BIRTH*

FULL LEGAL LAST NAMEFULL LEGAL FIRST NAMEDATE OF BIRTH (MM/DD/YYYY)
SECTION 11 - HOUSING QUESTIONNAIRE

WHY IS THIS IMPORTANT?

The McKinney-Vento Act & State law requires all families to answer the following questions annually. The information provided below will help the district determine what services you and/or your child may be eligible to receive. This could include additional educational services through Title I, Part A, and/or the McKinney-Vento Act.

YOUR CHILD(REN) MAY HAVE THE FOLLOWING RIGHTS:

Continued/enrollment at the school of origin (last school attended) or the local school where you are currently staying, even if you do not have all the documents normally required at the time of enrollment.

Receive transportation to and from their school of origin, the same special programs and services, if needed, as provided to all other children, including free meals and Title I.

Receive the full protections and services provided under all federal and state laws concerning homeless children, youth, and their families.

If you have any questions about these rights, please contact:
CDE’s Homeless Education Program at 866-856-8214 (HomelessEd@cde.ca.gov)
District Homeless Liaison 707-542-2201 (superintendent@bvusd.org)
(11.A) - CURRENT HOUSING - What best represents your family's housing situation?*

NO HOUSING HARDSHIP - Living in a single residence that is permanentSTAYING IN A SHELTER - Family, Domestic Violence, Youth Shelter - or Federal Emergency Management Agency (FEMA) TrailerSHARED HOUSING WITH OTHERS - due to loss of housing, economic hardship, natural disaster, inadequate housing, or similar reasonLIVING IN CAR, PARK, CAMPGROUND, ABANDONED BUILDING - or other inadequate accommodations (lack of water, electricity, heat, etc.) or similar situationTEMPORARILY LIVING IN A MOTEL OR HOTEL - due to loss of housing, economic hardship, natural disaster, or similar reason

(11.B) - PLEASE LIST ALL CHILDREN CURRENTLY LIVING WITH YOU

	FIRST NAME (nombre)	LAST NAME (apellido)	GENDER (género)	DATE OF BIRTH (fecha de nacimiento)	GRADE (grado)	SCHOOL (escuela)
#1
#2
#3
#4

(11.C) - CURRENT TEMPORARY ADDRESS (If Applicable)
(11.D) - NAME OF PARENT/ GUARDIAN COMPLETING THIS FORM

FIRST NAME LAST NAME

STUDENT LEGAL NAME & DATE OF BIRTH*

FULL LEGAL LAST NAMEFULL LEGAL FIRST NAMEDATE OF BIRTH (MM/DD/YYYY)
SECTION 13 - PARENT SURVEY - TK
(13.A/tk) - NAME OF PARENT/GUARDIAN COMPLETING THIS FORM*

LAST NAMEFIRST NAME
(13.B/tk) - RELATIONSHIP TO STUDENT*
(13.C/tk) - STUDENT'S PREFERRED NAME - IF APPLICABLE
(13.D/tk) - GENDER*

FEMALEMALENON-BINARY
(13.E/tk) - HEALTH SUMMARY - Please describe any health needs or conditions that their teacher should be aware of. Include any necessary classroom precautions.*
(13.F/tk) - SUPPORT SERVICES - If you previously indicated that your child may (currently or previously) benefit from any additional support services, please tell us more about the services and how we can further support your child in this area at school. *
(13.G/tk) - DEVELOPMENTAL MILESTONES – At what age did your child learn to independently do the following:*

DRESS SELF?SPEAK IN COMPLETE SENTENCES? USE TOILET INDEPENDENTLY?
(13.H/tk) - DAYCARE – Please indicate the approximate duration and frequency of DAYCARE attendance (enter N/A if child did not attend daycare)*

# YEARS ➜ (or) # MONTHS AVERAGE #DAYS A WEEK AVERAGE #HOURS A DAY
(13.I/tk) - PRESCHOOL – Please indicate the approximate duration and frequency of PRESCHOOL attendance (enter N/A if child did not attend preschool)*

# YEARS ➜ (or) # MONTHSAVERAGE #DAYS A WEEKAVERAGE #HOURS A DAY
(13.J/tk) - NAME OF PRESCHOOL/DAYCARE - enter 'N/A' if child did not attend either. *
(13.K/tk) - PRESCHOOL/DAYCARE - What were your child’s greatest challenges at daycare or preschool?*
(13.L/tk) - FEELINGS ABOUT SCHOOL – How does your child feel about entering school?*
(13.M/tk) - PARENTAL CONCERNS – Do you have any parental concerns you wish to make the school aware of?*
(13.N/tk) - FEARS – Do you or your child have any specific fears related to starting/being in school?*
(13.O/tk) - SIGNIFICANT EXPERIENCES – Please describe any experiences (positive or negative) that you think might affect your child at school (travel, surgery, death in family, divorce, separation, etc.).*
(13.P/tk) - SUCCESSFUL STRATEGIES - What strategies do you use when your child chooses not to follow directions?*
(13.Q/tk) - FAVORITE ACTIVITIES – What are your child’s favorite activities?*
(13.R/tk) - ANYTHING ELSE ? – Please list anything else that you would like your child’s teacher to know.*
(13.S/tk) - PHOTO PERMISSION – May we, for the purposes of observation/placement, take a photo of your child at the screening? (Photo will not be shared outside of the TK team)*

YESNO

STUDENT LEGAL NAME & DATE OF BIRTH*

FULL LEGAL LAST NAMEFULL LEGAL FIRST NAMEDATE OF BIRTH (MM/DD/YYYY)
SECTION 13 - PARENT SURVEY - GRADES 1-6
(13.A) - NAME OF PARENT/GUARDIAN COMPLETING THIS FORM*

LAST NAME FIRST NAME
(13.B) - RELATIONSHIP TO STUDENT*
(13.C) - STUDENT'S PREFERRED NAME - IF APPLICABLE
(13.D) - GENDER*

FEMALEMALENON-BINARY
(13.E) - NAME OF AFTER SCHOOL CARE PROVIDER - enter 'N/A' if not applicable*
(13.F) - HEALTH SUMMARY - Please describe any health needs or conditions that their teacher should be aware of. Include any necessary classroom precautions.*
(13.G) - FEELINGS ABOUT SCHOOL – How does your child feel about entering school?*
(13.H) - PARENTAL CONCERNS – Do you have any parental concerns you wish to make the school aware of?*
(13.I) - EDUCATIONAL PRIORITIES – What do you see as the most important aspect of your child’s education?*
(13.J) - STUDENT FEARS/CONCERNS - Does your child have any particular fears?*
(13.K) - SIGNIFICANT EXPERIENCES – Please describe any experiences (positive or negative) that you think might affect your child at school (travel, surgery, death in family, divorce, separation, etc.).*
(13.L) - SUCCESSFUL STRATEGIES – What strategies do you use when your child is not behaving as expected?*
(13.M) - STUDENT INTERESTS - What does your child enjoy doing the most? Any special interests? *
(13.N) - STUDENT DESCRIPTION – What three adjectives would you use to best describe your child?*

DESCRIPTIVE WORD #1DESCRIPTIVE WORD #2DESCRIPTIVE WORD #3
(13.O) - RECENT MOVE - Has your family moved recently?*

YESNO
(13.P) - ANYTHING ELSE? – Please list anything else you’d like your child’s teacher to know:*
(13.Q) - VOLUNTEER INTEREST – Would you be interested in volunteering in your child’s classroom?*

YESNO

YOU'RE ALMOST DONE!

THIS PAGE ALLOWS YOU TO:

(1) DOWNLOAD REQUIRED FORMS &

(2) UPLOAD COMPLETED DOCUMENTS
STUDENT LEGAL NAME & DATE OF BIRTH*

FULL LEGAL LAST NAMEFULL LEGAL FIRST NAMEDATE OF BIRTH (MM/DD/YYYY)
SECTION 14 - REQUIRED DOCUMENTS

All required documents are necessary to complete registration.

Based upon your responses above: your required & recommended documents are listed below.

You are encouraged to upload as many documents as possible now, but do not delay submitting this form due to incomplete documents.

If necessary, you may submit documents later via email (or by delivering them to the office) - but please do so as soon as possible, to avoid enrollment delays.
LEGAL PROOF OF AGE

ALLOWABLE DOCUMENTS

- LISTED IN ORDER OF PREFERENCE -

BIRTH CERTIFICATE

PASSPORT

IMMIGRATION CERTIFICATE
(14.A) REQUIRED FOR ALL NEW STUDENTS*

Cancelof
IMMUNIZATION RECORD

USE THE BUTTONS BELOW FOR ADDITIONAL RESOURCES

- INCLUDING ACCESS TO CARE -

ENGLISH PDF

SHOTS FOR SCHOOL

TK/K FAQ

MORE RESOURCES

(bvusd.org/vaccines)
(14.B) IMMUNIZATION RECORD

REQUIRED FOR ALL NEW STUDENTS
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BASED ON YOUR RESPONSES ABOVE, THIS IS:

ADDRESS VERIFICATION

ALLOWABLE DOCUMENTS

-MUST INCLUDE NAME & ADDRESS-

UTILITY BILL

RENTAL AGREEMENT

MORTGAGE STATEMENT
(14.C) ADDRESS VERIFICATION*

REQUIRED FOR IN-DISTRICT FAMILIES
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BASED ON YOUR RESPONSES ABOVE, THIS IS:

ORAL HEALTH EXAM

USE BUTTONS BELOW FOR MORE RESOURCES

- INCLUDING ACCESS TO CARE -

*REQUIRES DENTIST SIGNATURE

ENGLISH PDF

MORE RESOURCES

(bvusd.org/oralhealth)
(14.D) ORAL HEALTH EXAM

REQUIRED FOR TK & K
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BASED ON YOUR RESPONSES ABOVE, THIS IS:

TK & K HEALTH EXAM

USE THE BUTTONS BELOW FOR ADDITIONAL INFORMATION & RESOURCES

- INCLUDING ACCESS TO CARE -

REQUIRES PHYSICIAN SIGNATURE

FORM PDF

MORE HEALTH RESOURCES

(bvusd.org/healthexam)
(14.E) TK & K HEALTH EXAM

RECOMMENDED TK & K
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BASED ON YOUR RESPONSES ABOVE, THIS IS:

MEDICATION AUTHORIZATION

REQUIRES PHYSICIAN SIGNATURE

AUTHORIZATION FORM

MORE INFORMATION

(bvusd.org/medication)
(14.F) MEDICATION AUTHORIZATION

REQUIRED IF STUDENT NEEDS MEDICATION AT SCHOOL
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BASED ON YOUR RESPONSES ABOVE, THIS IS:

COPY OF STUDENT IEP/§504 PLAN
(14.G) COPY OF STUDENT IEP/§504 PLAN

REQUIRED IF STUDENT HAS IEP or §504 PLAN
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BASED ON YOUR RESPONSES ABOVE, THIS IS:

COURT ORDER/ LEGAL DOCUMENT(S)

- DIRECTLY IMPACTING SCHOOL'S ABILITY TO SUPPORT STUDENT -
(14.H) COURT ORDER/ LEGAL DOCUMENT(S)

REQUIRED IF SCHOOL NEEDS TO BE AWARE OF ANY LEGAl/COURT DOCUMENTS
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BASED ON YOUR RESPONSES ABOVE, THIS IS:

REPORT CARD COPY

- IF PREVIOUSLY ATTENDED K-6 SCHOOL -
(14.I) REQUIRED IF STUDENT ATTENDED ANOTHER TK-6 SCHOOL

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BASED ON YOUR RESPONSES ABOVE, THIS IS:

ATTENDANCE RECORD

- IF PREVIOUSLY ATTENDED K-6 SCHOOL -
(14.J) REPORT CARD COPY

REQUIRED IF STUDENT ATTENDED ANOTHER TK-6 SCHOOL
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BASED ON YOUR RESPONSES ABOVE, THIS IS:

IDT

INTER-DISTRICT TRANSFER REQUEST

REQUIRED FOR OUT-OF-DISTRICT STUDENTS

PLEASE CONFIRM SPACE IS AVAILABLE BEFORE SUBMITTING TO SCHOOL OFFICE

OFFICE WILL SUBMIT TO HOME DISTRICT

SUBMIT TO OFFICE

UPLOAD NOT AVAILABLE

ENGLISH IDT

LEARN MORE

(bvusd.org/idt)
BASED ON YOUR RESPONSES ABOVE, THIS IS:

FINAL ASK!

ONLINE INCOME ELIGIBILITY APPLICATION

PLEASE COMPLETE THIS SHORT ONLINE APPLICATION

- IF THERE IS ANY CHANCE YOU COULD BE ELIGIBLE -

EACH ELIGIBLE APPLICATION EARNS

SCHOOL FUNDING &

FAMILY ACCESS TO NO-COST PROGRAMS SUCH AS:

YMCA CARE • ENRICHMENT • TUTORING • SCHOOL MEALS • BUS PASSES • MORE!

APPLY NOW!

(bvusd.org/incomeapplication)

FINAL PAGE!

THIS PAGE ALLOWS YOU TO:

TRACK • PRINT • SIGN • SUBMIT
ENROLLMENT TRACKER

THE FOLLOWING CHART REFLECTS YOUR COMPLETING OF REQUIRED/RECOMMENDED TASKS

After you print a copy of your Pre-Registration, you can refer back to this page

(15.A) ENROLLMENT TRACKER

	REQUIRED /RECOMMENDED	UPLOADED	MISSING
PROOF OF AGE
ADDRESS VERIFICATION
IMMUNIZATION COPY
IEP/504 COPY
LEGAL/COURT PAPERS
ORAL HEALTH EXAM - TK/K only
HEALTH EXAM - TK/K only
MEDICATION AUTHORIZATION
(IDT) INTER-DISTRICT TRANSFER REQUEST
REPORT CARD COPY
ATTENDANCE RECORD
ONLINE INCOME APPLICATION

LAST STEP!

PARENT/GUARDIAN CONFIRMATION & SIGNATURE

Please complete the following to confirm the information provided is accurate and complete to the best of your knowledge:
(15.B) PARENT/GUARDIAN SIGNATURE*

Clear
(15.C) PARENT/GUARDIAN NAME*

FIRST NAMELAST NAME
(15.D) PARENT/GUARDIAN EMAIL*

Confirmation EmailA COPY OF YOUR COMPLETED FORM WILL BE SENT TO THIS EMAIL
DON'T FORGET TO PRINT, PRIOR TO SELECTING THE FINAL SUBMIT BUTTON!
Should be Empty: