Asher Elementary Student Enrollment 2021-2022
This form is for all early childhood and elementary students entering Preschool (3 year old) through 6th grade. Birth certificates, immunizations/exemption forms, CDIB card (if applicable) and proof of residency may be mailed, faxed or dropped off at Asher School. Other necessary forms will be sent home with students on the first day of school.
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Email *
Select Student's Grade: *
Required
Student's First Name: *
Student's Middle Name: *
Student's Last Name: *
Does your child use a name other than his/her legal name? *
Required
If you answered "yes" to the previous question, please provide the name used by your child.
Student's Birthdate: *
MM
/
DD
/
YYYY
Student's Gender: *
Is the student Hispanic? *
Race (choose one or more): *
Required
Has the student ever attended Asher Public School? *
If student did not attend Asher last year, where did student attend school?
Student's residential address: *
City: *
Zip code: *
Is student's mailing address the same as the physical address listed above? *
If you answered "No" to the above question, what is student's physical address?
Is the residential address owned by the Indian Housing Authority or located on Indian land? *
Does your child reside in the Asher Public School District? *
Full name of legal parent/guardian #1: *
Relation to child: *
Does child reside with you? *
Parent Email: *
Home phone number: *
Cell phone number: *
Place of employment: *
Work phone number: *
Full name of legal parent/guardian #2: *
Contact phone number: *
Is the custody of this child decreed by the courts? *
Is either parent/guardian in the military or a civilian working on government property? (Eligible government properties: FFA-Will Rogers Airport, Tribal Casinos, Indian Health Services, Federal Highway Administration, U.S. Postal Service, VA Medical Center, U.S. Geological Survey, Military Branches, etc.) *
Emergency Contact #1 name & contact number: *
Emergency Contact #2 name & contact number: *
Has student been in any special programs? Check all that apply. *
Required
Has your child participated in the Sooner Start program? *
Does your child participate in a childcare program licensed by DHS? *
Did your child participate in the Head Start program or any other childhood program funded by state or federal money? *
I give permission for my child to have access to the Asher Public School's network and the internet. *
I give permission for my child's picture to be used in school publications. (website, TV, newspaper, etc) *
I give permission for my child to be given Tylenol, Ibuprofen, cough syrup/drops provided by the parent with your child's name on bottles/bags. *
Does your child have any allergies (bee stings, food, drug) or any other medical problems we need to know about? *
Do you have any degree of American Indian ancestry or have a CDIB card? *
Medical information will be shared with appropriate school personnel. In the event I cannot be reached and my child needs treatment that cannot be taken care of at school, I do hereby authorize the designated school employee to take my child to the nearest hospital for treatment. *
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