Minor High School - New Student Pre-Registration Form and Appointment Schedule
This form must be completed for all new students to the Jefferson County School System. This includes students coming from another school district or transferring from another school within the district. All form fields must be completed unless specifically noted. Residence verification documents and new student documents must be provided directly to the school. If you have questions, please contact the school at 205-379-4750 or email apope@jefcoed.com

 ** AFTER YOU HAVE COMPLETED THIS FORM: You will need to fill out the  NEW to JEFCO registration form on the JEFCOED website https://www.jefcoed.com/Page/1246 . You will need to do so before we can enroll your student. (THIS IS ONLY FOR STUDENTS NEW TO JEFCOED)**

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Email *
Please list your email address/ the email address provided will be used to send the registration link for the student. If no email address is provided, any documentation will be mailed *
Enter your student first name( legal name that is on the birth certificate) *
Enter the middle name of the student( legal name that is on the birth certificate), If the student does not have a legal middle name, please put NMI *
Enter the last name of the student ( legal name on the birth certificate) *
Student Suffix
Enter the student's DATE OF BIRTH *
MM
/
DD
/
YYYY
Enter the student's social security number(If a social security number is not available, please enter "not available") *
Enter the student's gender *
Is the student Hispanic or Latino? *
Enter the race of the student *
Enter the name of the school for which the you are enrolling the student *
*
Enter the name of the last school and district the student attended *
Enter the physical address of the student(Physical street address where student resides for which residency verification will be provided.) *
Enter the city *
Enter the state *
Enter the zip code( Please enter the zip plus four if known) *
Enter the primary language the student speaks *
Enter the custodian/guardian first and last name
Enter the custodian/guardian cell phone number(area code first) *
Enter another phone to reach the custodian/guardian followed by type(if no additional number,list n/a) *
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