2026-2027
REGISTRATION OF ALL GRADES FOR OLNEY-BISSELL SCHOOL
**DUE TO NEW ENROLLMENT PROCEDURES ALL FAMILIES ARE REQUIRED TO FILL OUT A COMPLETED REGISTRATION FORM**
**PROOF OF PHYSICAL ADDRESS IS REQUIRED**
Today's Date:
-
Month
-
Day
Year
Date
Date Enrolled:
-
Month
-
Day
Year
Date
Grade going into:
Student Name:
Birthdate:
-
Month
-
Day
Year
Date
Gender:
Mailing Address:
Physical Address:
Parents/Guardians Names:
Parent/Guardian Email Address:
example@example.com
Parent/Guardian Email Address:
example@example.com
Home Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Cell # Parent/Guardian
Please enter a valid phone number.
Format: (000) 000-0000.
Cell # Parent/Guardian
Please enter a valid phone number.
Format: (000) 000-0000.
Work # Parent/Guardian
Please enter a valid phone number.
Format: (000) 000-0000.
Work # Parent/Guardian
Please enter a valid phone number.
Format: (000) 000-0000.
In Case of Emergency other than Parents or Guardians:
Name
First Name
Last Name
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Name
First Name
Last Name
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
I/We give my/our permission for Emergency Medical Care to be administered as needed.
Signature(s):
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Olney Bissell School District #58
5955 Farm to Market Rd. Whitefish MT 59937
Phone(406) 862-2828 Fax(406) 862-2838
AUTHORIZATION TO RELEASE INFORMATION
To Previous School Attended:
Students Name
First Name
Last Name
Address of Previous School
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Date:
-
Month
-
Day
Year
Date
Grade:
Fax or Email:
DOB:
-
Month
-
Day
Year
Date
I hereby authorize the release of the following information you hold in your files regarding my child/ren.
1.) Cumulative Records
2.) Health Records
3.) Special Education Records
4.) Psychological Records
5.) Achievement Tests
6.) Proof of Free/Reduced meals
RELEASE TO: Olney-Bissell School District #58
5955 Farm to Market Rd.
Whitefish, MT 59937
Email: olneybissell@gmail.com
I acknowledge notification of this transfer of records as required by the Family Educational Rights and Privacy Act of 1974 and understand that I have a right to receive a copy at my own expense. I understand that the transferred information will be treated in a confidential manner and will not be transmitted to a third party without my consent.
Parent's Signature:
Date:
-
Month
-
Day
Year
Date
School Official Signature:
Date:
-
Month
-
Day
Year
Date
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STUDENT HEALTH HISTORY
This information will be shared on a need-to-know basis with Administration, Staff and Emergency Medical staff in the case of an emergency unless you notify us otherwise.
Date:
-
Month
-
Day
Year
Date
Parent/Guardian's Signature:
Parent/Guardian's Signature:
Student:
DOB:
-
Month
-
Day
Year
Date
Grade:
PLEASE CHECK IF CHILD HAS HAD DIFFICULTY WITH ANY OF THE FOLLOWING: GIVE DATES AND ADDITIONAL INFORMAITON UNDER COMMENTS.
ADD/ADHD
EMOTIONAL DISORDER
OTHER
ALLERGIES
HEADACHES/MIGRAINS
ASTHMA
HEARING
AUTISM/ASPERGERS
HEART CONDITIONS
BEHAVIOR
PHYSICAL DISABILITY
DIABETES
SPEECH
COMMENTS:
1. Does your child have allergies to medicine, food, latex, or insect bites?
No
Yes
Type of allergy
2. Is your child being treated or evaluated for any health conditions?
No
Yes
Condition
3. Is your child on any medication or treatment?
No
Yes
Medication
4. Does your child have any special diet or food restrictions?
No
Yes
Restrictions
If there is anything that you feel needs to be addressed for your child to succeed at school please explain:
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MONTANA HOME LANGUAGE SURVEY
District:
School:
The Home Language Survey helps the school ensure that your child receives the highest quality education and services to which they are entitled. The process begins with determining the language(s) spoken in the home. Your responses are essential in order for the school to make the most informed program decisions for your child which may include assessing their English language proficiency. Please respond to the questions below as accurately as possible.
Student Name:
Birth Date:
-
Month
-
Day
Year
Date
Parent / Guardian Name:
Sex:
Address:
Phone Number:
Format: (000) 000-0000.
Email:
example@example.com
Answer each question by marking either the YES or NO box:
1. Is your child's first-learned or home language anything other than English?
YES
NO
2. Does your child understand or communicate with anyone in the home using a language other than English?
YES
NO
3. Does your child read and/or write in a language other than English?
YES
NO
4. Does your child have exposure to a heritage or ancestral language other than English spoken by family, friends, or community members?
YES
NO
5. If you answered YES to any question, what language(s) other than English does your child hear or use at home?
6. If you answered YES to any questions, what language(s) other than English is your child exposed to in their home or community?
7. If available, in what language would you prefer to receive communication from the school?
Parent / Guardian Signature:
Date:
-
Month
-
Day
Year
Date
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Guidance on Race/Ethnicity Montana Office of Public Instruction (OPI)Race/Ethnicity Reporting Form - Short
A change has been made to the reporting of race and ethnicity in educational data to better reflect the country's growing diversity. The change will take place in the 2010-2011 school year and will require all students to be identified using a new two-part race/ethnicity question. The federal government has established the two-part question to recognize Hispanic ethnicity and race as two separate and distinct concepts. Additionally, the change allows the reporting of multiple races (American Indian or Alaska Native, Asian, Black or African American, Native Hawaiian or Other Pacific Islander, White).
Student Name:
First Name
Middle Initial
Last Name
DOB:
-
Month
-
Day
Year
Date
Grade:
School:
Identify the ethnicity and race of the individual by answering BOTH questions.
Part 1.
Is the individual Hispanic or Latino? (Choose only one)
No, not Hispanic or Latino
Yes, Hispanic or Latino
Part 2.
What is the individual's race? (Choose one or more races below)
American Indian or Alaska Native
Asian
Black or African American
Native Hawaiian or Other Pacific Islander
White
Note: Failure to answer both questions will result in use of prior racial/ ethnic data or an observer identifying for you.
Parent/Guardian Signature
Date
-
Month
-
Day
Year
Date
Elsie Arntzen, Superintendent of Schools, Office of Public Instruction-www.opi.mt.gov
May 18, 2009 (rev.5/18)
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Olney-Bissell School District 58Student Residency Questionnaire
Name of Student:
First Name
Last Name
Date of Birth:
-
Month
-
Day
Year
Date
Person completing form:
Parent or guardian
Youth
Unaccompanied youth (a youth that does not live with a parent or guardian)
Other
Name:
First Name
Last Name
Email:
example@example.com
Phone:
Format: (000) 000-0000.
Please answer these questions about the student's residency. The information you provide is confidential and protected by the law called the Federal Education Rights and Privacy Act. We use this information to decide which schools students should attend. We also use this information to make sure the rights of a child, youth or an unaccompanied youth are met based on a law called the McKinney-Vento Homeless Assistance Act.
1. Is the student's address a temporary living arrangement?
Yes
No
2. Is the student's living arrangement due to loss of housing or financial hardship?
Yes
No
If the answer to any of the above is YES, please complete the following:
Where is the student identified above currently living? (Please check one)
Where is the student identified above currently living?
In a motel or hotel due to loss of housing or financial hardship
In an emergency shelter, transitional housing facility, or abandoned in a hospital
Sharing another family's house or apartment
In a car, park, trailer park (this does not refer to a mobile home (trailer) park, this refers to a type of camping ground for fifth wheel camper trailers or other types of movable campers), camping ground, street, public space, substandard housing (housing that does not meet modern standards of living), or abandoned building
In a bus or train station
Moving from place to place (couch surfing)
In a public or private place not meant to be used as a regular place for people to sleep
Other
Last school the student attended:
City:
State:
Name of Parent, Guardian or education decision maker:
Name
First Name
Last Name
Signature:
Name
First Name
Last Name
Signature:
Address:
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Home Phone:
Format: (000) 000-0000.
Cell Phone:
Format: (000) 000-0000.
Email:
example@example.com
OR
Student (if an unaccompanied youth that is homeless): Name
First Name
Last Name
Signature:
Address:
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Email:
example@example.com
Phone:
Format: (000) 000-0000.
If a child, youth or unaccompanied youth is NOT living in permanent housing, proof of residency and other documents (health, school records, etc.) normally needed for enrollment are NOT required. The child, youth or unaccompanied youth must be enrolled immediately in his or her school of origin, the school where other children attend that is in the area where the student is currently living, or another school that the student may attend based on what is best for the student.
OFFICE USE ONLY
Date Completed:
Eligible:
Yes
No
District Representative:
Comments:
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Should be Empty: