CTEA Registration Form 2026

School Registration
Chief Tahgee Elementary Academy
Additional documents for registration

Bring this registration form and the following documentation to the school office.

• Original Certified Birth Certificate
• Original Social Security Card
• Current Immunization Form
• Current Proofs of Residence (ex. power, water or gas bill)
Student Information
Name

First NameMiddle NameLast Name
Grade
Birth Date

MonthDayYear
Date
Gender
Ethnicity
Email Address
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Previous School
Previous District
Have you previously applied to or attended this school?
If yes, what year?
Current Residence Information
Address

Street Address

Street Address Line 2

CityState

Zip Code
Home Phone Number
Format: (000) 000-0000.
Primary Residence Information (if different from above)
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Parent/Guardian Residence Information (if different from above)
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Medical Consent
I hereby give permission for my minor child to receive medical treatment from a physician, hospital staff, registered or licensed nurse, or emergency medical technician for any illness or injury that may occur while on or near CTEA school grounds or during school-related activities.

This consent includes, but is not limited to, emergency medical care or surgery that may be considered necessary for my child’s immediate health and safety. This authorization will only apply if the parent, guardian, or acting custodian cannot be reached after reasonable efforts have been made to contact them at the time treatment is needed.

This consent will end once a parent, guardian, or acting custodian has been contacted. Any further medical treatment after that time may only be provided with the consent of the person contacted. This authorization will remain in effect unless it is revoked in writing by the undersigned.

I agee this information may be shared with appropriate school personnel for educational or safety purposes.

It is important for parents and guardians to understand that, despite CTEA’s careful supervision and safety precautions, accidents may still occur. CTEA carries liability insurance, but does not provide health insurance to cover medical expenses resulting from injuries that may happen at school, during school activities, or on field trips. Parents, guardians, and acting custodians should be prepared for any medical costs that may arise if their child is involved in an accident while participating in school-related activities.

I have read and understand that the medical costs for injuries that occur at school or during offcampus activites are the parent/guardians responsibility.
Signature
Date

MonthDayYear
Date

ED506 Form

Indian Student Eligibility Certification Form for Title VI Indian Education Formula Grant Program
Parent/Guardian: This form serves as the official record of the eligibility determination for each individual child included in the student count for the Title VI Indian Education Formula Grant Program.

If you choose to submit this form, your child could be counted for funding under the program. The grantee receives the grant funds based on the number of eligible forms counted during the established count period. You are not required to complete or submit this form unless you wish for your child(ren) to be included in the Indian student count.

This form should be kept on file with the grant applicant and will not need to be completed every year. Where applicable, the information contained in this form may be released with your prior written consent or the prior written consent of an eligible student (aged 18 or over), or if otherwise authorized by law, if doing so would be permissible under the Family Educational Rights and Privacy Act, 20 U.S.C. § 1232g, and any applicable state or local confidentiality requirements
Name

First NameLast Name
Date of Birth

MonthDayYear
Date
Name of School
School District
The individual with Tribal Membership is:
If individual with Tribal Membership is not child listed above, name the individual with tribal membership below:
Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Tribe or Band
Select only one

ED506 Form

Contuined
Parent/Guardian: This form serves as the official record of the eligibility determination for each individual child included in the student count for the Title VI Indian Education Formula Grant Program.

If you choose to submit this form, your child could be counted for funding under the program. The grantee receives the grant funds based on the number of eligible forms counted during the established count period. You are not required to complete or submit this form unless you wish for your child(ren) to be included in the Indian student count.

This form should be kept on file with the grant applicant and will not need to be completed every year. Where applicable, the information contained in this form may be released with your prior written consent or the prior written consent of an eligible student (aged 18 or over), or if otherwise authorized by law, if doing so would be permissible under the Family Educational Rights and Privacy Act, 20 U.S.C. § 1232g, and any applicable state or local confidentiality requirements.
Membership or enrollment number establishing membership
Other evidence establishing membership in Tribe listed above
Membership or enrollment number establishing membership or other evidenceestablishing membership in the Tribe listed above
Attestation Statement

I verify that the information provided above is true and correct to the best of my knowledge and belief
Printed name of Parent/Guardian

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Signature

Attestation Statement

For Parent/Guardians - Definitions
Indian means an individual who is (1) A member of an Indian Tribe or Band, as membership is defined by the Indian Tribe or Band,

including any Tribe or Band terminated since 1940, and any Tribe or Band recognized by the State in which the Tribe or Band resides;

(2) A descendant of a parent or grandparent who meets the requirements described in paragraph (1) of this definition; (3)

Considered by the Secretary of the Interior to be an Indian for any purpose; (4) An Eskimo, Aleut, or other Alaska Native; or (5) A

member of an organized Indian group that received a grant under the Indian Education Act of 1988 as it was in effect on October 19,

1994.

Student Information: Write the name of the child, date of birth, grade level, name of school and school district. Only name one child

per form.

Tribal Membership: Write the name of the individual with the tribal membership, if it is not the child listed. Only one name is needed

for this section, even though multiple persons may have tribal membership. Select only one identifier: the child, child's parent or

grandparent, for whom you can provide membership information.

Write the name and address of the organization that maintains updated and accurate nlembcrship data for such Tribe or Band of

Indians The name does not need to be the official name as it appears exactly on the Department of Interior's list of federally

recognized Tribes, but the name must be recognizable and be of sufficient detail to permit verification of the eligibility of the Tribe.

Check only one box indicated whether it is a Federally Recognized, State Recognized, Terminated Tribe or Organized Indian Group.

Write the enrollment number establishing the membership for the child, parent or grandparent, if readily available, or other evidence

of membership.

Attestation Statement: Provide the printed name of parent/guardian and signature, address, phone number and email of the parent

or guardian of the child. The signature of the parent or guardian of the child verifies the accuracy of the information supplied.

Paperwork Burden Statement: According to the Paperwork Reduction Act of 1995, no persons are required to

respond to a collection of information unless such collection displays a valid 0MB control number. The valid 0MB control number for

this information collection is 1810"0021. The time required to complete this portion of the information collection per type of respondent

is estimated to average: 15 minutes per Indian student certification (ED 506) form; including the time to review instructions. search

existing data resources, gather the data needed, and complete and review the information collection.

If you have any comments concerning the accuracy of the time estimate(s) or suggestions for improving this form, please write to:

U.S. Department of Education, Washington, D.C. 20202-465. If you have comments or concerns regarding the status of your individual

submission of this form, write directly to; Office of Indian Education, U.S. Department of Education, 400 Maryland Avenue, S.W.,

LBJ/Room 3W238, Washington, D.C. 20202-6335

Student Residency Questionnaire

This questionnaire is Intended to address the McKinney-Vento Act, Your responses will help the administrator determineresidency status for enrollment of this student and whether or not additional support and services may be available to the student.
Presently where is the student staying at night-time?
The Student lives with:
Choices in Section above do not apply
School
Name of student

First NameLast Name
Date of Birth

MonthDayYear
Date
Social Security Number
Sex
Name of Parent/Legal Guardian

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Signature of Parent/Legal Guardian
Date

MonthDayYear
Date

Field Trip Permission Slip
Name of Student

First NameLast Name
The administration, teachers, and staff at CTEA believe that community involvement, off-campus activities (such as P.E. at nearby parks), and field trips are an important part of your child’s education.

During the school year, your child may have opportunities to participate in these activities.

To allow your child to participate, this permission form must be completed and signed by a parent or guardian.

Parents may also choose not to allow their child to participate in off-campus activities. Students will not be allowed to attend any off-campus activity or field trip without a signed permission form on file. No exceptions can be made.
My Child:
to participate in school-related off-campus activities and field trips.
Signature of Parent/Guardian
Date

MonthDayYear
Date

Statewide Home Language Survey

Our school district along with the Idaho State Department of Education and the Office for Civil Rights require that students' language(s) are identified. This survey's purpose is to determine whether they are potentially eligible for language services.
Student Name

First NameLast Name
Date

MonthDayYear
Date
Birthdate

MonthDayYear
Date
Gender
School
Grade
What language(s) are spoken in the home?
What language(s) does your student speak most often?
What language(s) did your student first learn?
Which landuage does your child speak with you?
Which language do you use when speaking with your child?
Which language do you want phone calls and letters?
What is your relationship to the child?

Request for Student Records
Request for Student Records

Chief Tahgee Elementary Academy

Attention: Natalie Blackhawk

Po.Box 217 34 S Hiline Rd Pocatello, ID 83203

Phone: 208.237.2710 Fax: 208.203.8538

Previous School: {PreviousSchool}

District: {previousDistrict}

Student’s Name: {name}

Date of Birth: {birthDate}

The above student has enrolled at Chief Tahgee Elementary Academy in the grade. Please send all of the following:

Transcripts of grades

Standardized test scores

Health and Immunization records

Copy of Birth Certificate

Psychological testing

Behaviour and Discipline Records

Eligibility, IEP, 504 resource files

Schools or school systems are not required to have parental or student approval to release records to other school systems. Please refer to General Education Provision Act - Action 513 of Public Law 90.247 as amended added by section 513 of Public Law 93, amended by section 2 of Public Law 13.568.

Thank you for your cooperation!

By signing this form, parents/guardians agree not to enroll their student in another school without first officially withdrawing them from Chief Tahgee Elementary Academy.
Signature of Parent/Guardian
Date

MonthDayYear
Date

Student Transportation

Please Note: Transportation is only available for students who live within Chief Tahgee Elementary Academy’s primary attendance area and for students with disabilities whose IEP includes transportation as a required service. Please refer to the Chief Tahgee Elementary Academy Charter for attendance area information, or contact the Principal/Coordinator of Curriculum and Instruction with questions about IEPrelated transportation services.
Is Bus transportation desired? (Choose one)
Student

First NameLast Name
Student Age

MonthDayYear
Date
Sex
Student Special Needs
Student Pick-up Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Student Drop-off Address (If applicable)

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Fort Hall Reservation District (If applicable)
Parent/Guardian Name

First NameLast Name
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Signature of Parent/Guardian
Date

MonthDayYear
Date

Authorized to DROP-OFF / PICK-UP Student

Please list names and telephone numbers of anyone who is authorized to dropoff/ pick-up your child other than you.
Name(s)
Relationship
Telephone

Media Consent Form
Chief Tahgee Elementary Academy (CTEA) occasionally works with news media who wish to interview, photograph, or film students — especially in connection with our language immersion program. Media may also be invited to cover school events.

While we try to cooperate with the media as a public school, your family's privacy comes first. Please sign and return this form to let us know your preference.
I, the parent/guardian of the student listed below, give my consent for my child's name and/or image to be published or broadcast by the news media as described above.
I, the parent/guardian of the student listed below, do not give consent for my child's name and/or image to be published or broadcast by the news media in any situation where the school has control over such activity.
Social Media Consent Form

Under the Freedom of Information and Protection of Privacy Act, CTEA must have your permission before posting your child's full name, photo, or video on the school website and social media, which is viewable by the general public. We may post these in connection with everyday school activities or student achievements.

Please indicate your preference below.
I, the parent/guardian of the student listed below, give my consent for my child's name, photo, and/or video to be posted on the school website and social media.
I, the parent/guardian of the student listed below, do not give consent for my child's name, photo, and/or video to be posted on the school website and social media.
Student Name

First NameLast Name
Signature of Parent/Guardian
Date

MonthDayYear
Date

Authorization to Release Information
I authorize Chief Tahgee Elementary Academy to share the following information with the Tribal Youth Education Program (TYEP) and State Tribal Education Partnership (STEP) for the purpose of educational supports and interventions.
- Academic Grades
- Attendance (absenteeism, tardiness, suspension)
- IRI/ISAT scores
- General Behavior
- Other
I understand that information obtained and provided will be treated in a confidential manner.
Signature of Parent/Guardian
Date

MonthDayYear
Date

School Attendance Contract
Working Together for Your Child's Success

We believe that when families and school work as a team, students thrive! Here's how we can partner together to help your child have a great year:

Our Students Will:

🌟 Come to school every day and arrive on time

🌟 Follow school rules, dress codes, and treat others with respect

🌟 Complete and turn in homework as assigned

Our Families Will:

🤝 Help get your child to school on time every day

🤝 Please avoid early pickups unless absolutely necessary — every minute of learning counts!

🤝 Call the school by 9:00 a.m. on any day your child is absent due to illness

🤝 Provide a doctor's note if your child misses three or more consecutive days

🤝 Attend any school meetings scheduled to discuss your child's attendance

Here's how we'll work with you along the way:

3 Absences — A Friendly Check-In

Your child's classroom teacher will reach out to chat with you about any challenges your family might be facing that are making regular attendance difficult. We're here to listen and help!

4 Absences — Let's Find Solutions

Our school administrative assistant will contact you to talk through what's going on and explore ways we can work together to improve attendance going forward.

5 Absences — Outside Resource Check-in

Following a student’s FIFTH UNEXCUSED/UNVERIFIED ABSENCE for the school year, the Fort Hall Police Department will conduct a truancy-related welfare check and a written warning will be issued. A police report will then be submitted to the Tribal Prosecutor’s Office for Review.

6 Absences — Outside Resource Check-in

Following a student’s SIXTH UNEXCUSED/UNVERIFIED ABSENCE for the school year, the Fort Hall Police Department will conduct a truancy-related welfare check and a criminal citation will be issued. A police report will then be submitted to the Tribal Prosecutor’s Office for Review.

16 Absenses - Chronic Truancy

At this point, your child will unfortunately be considered chronically truant. In accordance with Idaho Code 33-205, the school board will review the situation, which may include a discussion of expulsion. All relevant agencies will also be formally notified.

We sincerely hope we never reach this point. Please know that our door is always open — the earlier you reach out, the more we can do to help! 💛
Signature of Parent/Guardian
Date

MonthDayYear
Date

Technology Usage Policy
Technology/Internet Usage Policy

The internet and school technology are provided primarily for educational purposes. While we respect students' right to free speech, we ask everyone to be thoughtful, kind, and responsible when using school devices and the internet.

Inappropriate Use

The following activities are considered inappropriate and are not permitted on school devices or networks:

🚫 Sending, viewing, or sharing offensive, pornographic, threatening, or harmful images and messages

🚫 Accessing or sharing content related to drugs, alcohol, gangs, sexual activity, or hate groups

🚫 Damaging, tampering with, or misusing school computer equipment or systems

🚫 Violating copyright laws by downloading or sharing protected content

🚫 Sharing your username or password with others, or using someone else's login credentials

🚫 Accessing another user's account, folders, or files without permission

🚫 Wasting shared resources — such as forwarding chain letters, streaming music or video, or downloading software unrelated to schoolwork

🚫 Using VPNs to get around the school's network filters

🚫 Using the school's internet for personal shopping or commercial activities

🚫 Participating in chat rooms or unauthorized live communication

🚫 Cyberbullying of any kind — including sending hurtful messages, spreading rumors, or sharing embarrassing photos, videos, or fake profiles

Consequences Violations of this policy may result in:

⚠️ Loss of technology and internet privileges

⚠️ Confiscation of equipment

⚠️ Further disciplinary or legal action

⚠️ The student/family being billed for any damage to school equipment or costs incurred as a result of misuse

All computer network usage is subject to filtering and monitoring. Therefore, be reminded there is no expectation of privacy.
Signature of Parent/Guardian
Date

MonthDayYear
Date
Should be Empty:

School Registration

Chief Tahgee Elementary Academy

Student Information

Current Residence Information

Primary Residence Information (if different from above)

Parent/Guardian Residence Information (if different from above)

Emergency Contact 1

Emergency Contact 2

Physician and Medical Information

Student Information

After School Plan

Legal Restrictions

Medical Consent

ED506 Form

Tribe or Band

ED506 Form

Attestation Statement

Attestation Statement

Student Residency Questionnaire

Field Trip Permission Slip

Statewide Home Language Survey

Request for Student Records

Request for Student Records

Chief Tahgee Elementary Academy

Attention: Natalie Blackhawk

Po.Box 217 34 S Hiline Rd Pocatello, ID 83203

Phone: 208.237.2710 Fax: 208.203.8538

Student Transportation

Authorized to DROP-OFF / PICK-UP Student

Media Consent Form

Authorization to Release Information

I authorize Chief Tahgee Elementary Academy to share the following information with the Tribal Youth Education Program (TYEP) and State Tribal Education Partnership (STEP) for the purpose of educational supports and interventions.

School Attendance Contract

Technology Usage Policy