A household is a grouping of people who live together in one location. A household name is typically a last name or a hypenated name that represents the students in the family. Please provide the address and primary phone number associated with this household. Proof of residency will be required. You will be asked to upload at the end of this form, or bring into the enrollment center a current copy of a utility bill in your name or copy of lease agreement.
Household Members - Students
Please list all students that live in your household that attend Collinsville Public Schools.
Let's establish the relationship between the adults in the household and the students in this household. We will start with adult 1.
Let's establish the relationship between adult 2 and the students in this household.
Let's establish the relationship between adult 3 and the students in this household.
Let's establish the relationship between adult 4 and the students in the household.
Additional information about the adults in this household.
Collinsville Public School District's automated messaging service includes but is not limited to: school closings, upcoming events, emergency situations at school, absences, lunch account balances, enrollment, or any other notice related to school that District officials determine should be communicated by automated message.
No other adults listed.
Provide information about how each student in this household will get to school and arrive home.
Please tell us if each student has a parent or guardian who is serving in the following branches of service.
Please list adults who do not live in your home that you want contacted in case of an emergency if you can not be reached. Also, list any biological parent who has custodial rights to these students but is not living in the student's household, even if they will not be called in case of emergency.
Since adult 1 is a parent/guardian, additional information is requested.
Since adult 2 is a parent/guardian, additional information is requested.
Proof of residency is required. (current gas or electric bill, lease agreement, or new house contract)
Address: 1902 West Maple
I will inform the enrollment office when information for my student needs to be updated throughout the year.
Pursuant to the School Laws of Oklahoma, Collinsville Public Schools has adopted a Board Policy prohibiting the attendance of a student(s) under suspension from another school, until such time as the terms of the suspension have expired. The circumstances of an individual’s suspension may be reviewed. By signing this form, I do hereby affirm that the student(s) listed above is not currently under suspension from another school district. I, also, affirm that the facts stated herein are true. Any false statements subjects the above named student(s) to immediate withdrawal.