USD 245 K-12 Enrollment Form *RETURNING STUDENTS*
USD 245 Student Registration Information: The following form will serve as an electronic registration for your student(s). Registration must be filled out completely by a parent or guardian. If you have questions, please call: USD 245 District Office 620-964-2212, SCCHS/SCCMS 620-964-2217 or SCCES 620-836-2151. DO NOT list any PRESCHOOL students on this form. To enroll a PRESCHOOL student, please use the PRESCHOOL Enrollment form.
Please list your student(s) full name (first, middle, last) AND the grade they are entering.
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ex: John David Doe - 7th
If there have been any changes to the parent/guardians phone number or address since the previous school year, please list those changes below. If NO changes have been made, please type N/A in the box to continue.
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Please provide a frequently checked email address for the parent/guardians.
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example@example.com
If there have been any changes to insurance or emergency contacts, please list those below. If there are NO changes, please type N/A in the box to continue.
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Liability of Medical Expenses Waiver: I give permission for my children to participate in field trips and other activities authorized by USD 245. Further, I give my legal consent and authorize any representative of USD 245 to authorize emergency medical treatment, including any necessary surgery or hospitalization, for my child(ren) listed above for any injury or illness of and emergency nature he/she incurred while participating in the field trip or other activity by any physician or dentist in accordance with the provisions of the Kansas Healing Arts Act, K.S.A. 650-2801 and any hospital.
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Please Select
Yes
No
Annual Notice of Authorized Student Data Disclosures: I give permission for USD 245 to post on the district website and the district Facebook page information about my child(ren) including student articles, photos, stories, and information on student life submitted by teachers, coaches, newspaper and yearbook staff. Students will be identified by first and last name all USD 245 schools. (Staff periodically submit articles and pictures to the local Newspapers, pictures and /or names may appear in the newspaper without parent consent.
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Please Select
Yes
No
Computer Use Agreement: My child understands and will abide by the district guidelines and conditions for the use of the facilities of USD 245 public schools and access to the internet. I further understand any violation of the district guidelines Computer Use Policy is unethical and may constitute a criminal offense. Should my child commit any violation, my child’s access privileges may be revoked. School disciplinary action and/or appropriate legal action may be taken.
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Please Select
Yes
No
Kansas regulations now require that district provide all parents with notice of our written policies regarding Emergency Safety Interventions (“ESI”). Our policy is available on our website at USD245ks.org. Please feel free to download and print it at your convenience.
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Please Select
I have read and understand where to find ESI
Other
Have you downloaded the USD 245 app? If not, it can be downloaded through Google Play Store or the Apple App Store. Make sure your notifications for the app are turned ON! This is how we will be communicating school closures and much more.
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Please Select
I have read and understand where to download the app and to turn on the notifications.
Other
This section is ONLY for SCCHS students. SCCHS students have the opportunity to participate in various activities during the school year that take them off the school grounds during the school day, but where transportation is not directly provided by USD 245. Examples of this would be: student work study and traveling to businesses in town for supplies for school projects, etc. In order for student to participate in these types of activities, we need the following transportation release on file along with a copy of their driver’s license if they are 17. Off campus lunch is not included with this waiver. If students plan to eat lunch off campus they must walk or be picked up by an adult. I hereby give permission for my son/daughter to drive to and from school related events, when approved by administration, in their personal vehicle.
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Please Select
Yes
No
My student(s) are not in High School
I understand that the submission of this form serves as my “electronic” signature and replaces a hand written signature in all questions answered above.
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Please Select
Yes
No
Please list your First/Last name below along with your last 4 SS #digits. This indicates that you are the legal guardian of the above mentioned student and are the person filling out this form.
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Submit
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