Student Registration Form

Oostburg School District

410 New York Ave, Oostburg, WI

oostburg.k12.wi.us

(920) 564-2346

First NameMiddle NameLast Name

ex. Father, Mother, etc.

Street Address

Street Address Line 2

CityState

Zip Code

Please enter a valid phone number.

I'm brand new to the Oostburg School DistrictMy address has changed within the last yearMy phone number(s) have changed within the last yearNone of the above

Staying in a shelter (family shelter, domestic violence shelter, youth shelter) or FEMA trailerSharing the housing of others due to loss of housing, economic hardship or similar reasonLiving in a car, park, campground, abandoned building, or other inadequate accommodationTemporarily living in a motel or hotel due to loss of housing, economic hardship or similar reasonLiving alone as a minor student(s) without an adult (unaccompanied youth)

Please enter a valid phone number.

First NameMiddle NameLast Name

ex. Father, Mother, etc.

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Please enter a valid phone number.

I'm brand new to the Oostburg School DistrictMy address has changed within the last yearMy phone number(s) have changed within the last yearNone of the above

Please enter a valid phone number.

First NameMiddle NameLast Name

will autofill based on grade

Oostburg School DistrictOther District?

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Hispanic/LatinoNon-Hispanic/Latino

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Please enter a valid phone number.

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Please enter a valid phone number.

	Drug Name	Dose	Frequency	Times to be given	Stop Date
Inhaler

	Drug Name	Dose	Frequency	Times to be given	Stop Date
Insulin

	Drug Name	Dose	Frequency	Times to be given	Stop Date
Glucagon

	Drug Name	Dose	Frequency	Times to be given	Stop Date
Diastat

	Drug Name	Dose	Frequency	Times to be given	Stop Date
Med

	Drug Name	Dose	Frequency	Times to be given	Stop Date
Epipen
Other Allergy

	Drug Name	Dose	Frequency	Times to be given	Stop Date
ADHD MED

	Drug Name	Dose	Frequency	Times to be given	Stop Date
AnxietyMed

Wisconsin Department of Health Services: Immunization Record Lookup

Families and individuals can use this site to view and print their immunizations.

(Enter student First, Last, DOB, SSN on the DHS Site above)

Health Information Disclaimer

Health information provided is used to help meet your child’s health and educational needs. While attempts are made to share health information with appropriate staff, it remains the responsibility of the parent to communicate with your child’s teacher regarding significant health related matters. In addition, Bus drivers are not employees of the school district; it remains the sole responsibility of the parent to communicate their child’s health concerns to the bus company. If an emergency should arise and the parent can’t be contacted, the school has permission to transport your child to the above mentioned hospital. The parent assumes all costs involved including possible ambulance fees.

Listed Addresses

Address 1

{parentguardianName}

{workPhone}

{cellPhone}

{otherPhone}

{address472}

Address 2

{parentguardianName83}

{cellPhone91}

{workPhone92}

{otherPhone93}

{address}

Daycare

{daycarechildCare}

{phone}

{address162}

Address 1Address 2DaycareOther - (Enter Name/phone/address)

	Pickup	Dropoff
Monday
Tuesday
Wednesday
Thursday
Friday

Please contact Otte Bus Co., (920) 668-8677, with questions regarding bus routes.

Before School (6:30 am to 8:15 am)After School (3:25 pm to 5:30 pm)No School/In-Service Days (for grades K-5 only)

Daily Dutch Bunch Fees:

Before School only	$8
After School only	$10
Before and after	$15 ($5 discount)
No School day	$29

	Monday	Tuesday	Wednesday	Thursday	Friday
BEFORE

	Monday	Tuesday	Wednesday	Thursday	Friday
AFTER

	Monday	Tuesday	Thursday	Friday
WA Care days

Daily Wrap Around Care Fees (JK Students only):

Wrap Around Only	$15
Before JK and Wrap Around	$21
Wrap Around and After School	$21
Before JK, Wrap Around and After School	$29

if you woud like to deny permission please type "deny permission"

please type "deny permission"

Each year the Oostburg School District is required by state statute to report to the Wisconsin Department of Public Instruction the number of children, by age and gender, who reside within the district boundaries. This census counts all children from ages new born through 20. This information is also important when sending out letters to parents regarding any pre-school or Kindergarten screenings. Please add any children that have not been reported to us previously.

2025-2026 Student Registration Form

Student Information

Please check the following information regarding your child:

Wisconsin Department of Health Services: Immunization Record Lookup

DTaP/DTP/DT/TD

Polio

Hepatitis B

Meningococcal

MMR

Tdap

Varicella

Health Information Disclaimer

Bus Transportation Request

Typical Daily Schedule

Listed Addresses

Dutch Bunch

Daily Dutch Bunch Fees:

Wrap Around Care

Daily Wrap Around Care Fees (JK Students only):