Callisburg Middle School Returning Student Registration 2020 - 2021
This form is for returning student enrollment only.  Please make sure all phone numbers have area codes and in the following format (XXX) XXX-XXXX.  Names should consist of first and last name.  It is important that your student's information is correct.

New Students or student previously enrolled but have been since withdrawn from Callisburg Middle School need to contact the Registrar's office regarding enrollment @ 940.665.0961 Ext 309.  
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Student Registration Information 2020 - 2021
Returning Student
Last Name of Student *
Name as shown on birth certificate or birth record
First Name of Student *
Name as shown on birth certificate or birth record
Middle Name of Student *
Name as shown on birth certificate or birth record
Date of Birth of Student *
MM
/
DD
/
YYYY
Gender of Student *
Grade Level *
Select the grade level Student will be in next year,  2020 - 2021 school year
Current Physical Address *
Physical address in Callisburg ISD.  
Current Mailing Address *
Has your address changed since the 2019 - 2020 school year? *
If address has changed provide Secretary with Proof of Residency before the start of school
Who does your student live with? *
If "Other" was selected above,please describe in the space below
Parent/Guardian Information
Please complete this section in its Entirety  
Father's Full Name or Legal Guardian *
Mother's Full Name or Legal Guardian *
FIRST Contact Parent/Guardian Name and cell phone number (xxx)xxx-xxxx *
Has FIRST Contact Parent Guardian phone number changed since 2019 - 2020 school year? *
SECOND Contact Parent/Guardian Name and cell phone number (xxx) xxx-xxxx *
Has SECOND Contact Parent/Guardian phone changed since 2019 - 2020 school year? *
First and Second Contact phone numbers will be entered in the CISD Messenger Service listing.  If you do not wish one of the contact's number to be listed, LIST THE NUMBER below.  Otherwise both First and Second Contact numbers will be listed.
List Emergency Contact Names, phone number (xxx) xxx-xxxx and RELATIONSHIPS TO STUDENT (grandparent, aunt or uncle etc.) other than Parent/Guardian, you wish to be contacted in the event Parent/Guardian can not be reached.  It is important that your student's information is correct. *
Siblings that will attend Callisburg ISD in 2020 - 2021
List First and Last Name with grade level
Student Program Information
Has your student been placed in Foster Care by the Department of Family and Protective Services (DFPS)? *
Has your student been diagnosed with dyslexia?  If so please provide Registrar with diagnosis documentation if not done so *
Military Connect Students please check one box below if your child is a dependent of a member of the military.   *
Does your student receive Special Services? Please check all that apply *
Required
State Compensatory Education
SB 1746, 86th Legislature, 2019 amended Section 29.081 of the Texas Code (TEC) to expand the definition of students who are at risk of dropping out  to include incarcerated or who have parents/guardian that have been incarcerated within the life time of the student. These students are eligible to receive certain services that other at-risk students receive, such as counseling and academic enhancement services.

TEA’s general guidelines for documenting a student at-risk due to incarceration are as follows:

•Timeline for Identification – This begins as soon as the appropriate school staff is informed of a student’s incarceration or that  
  a student’s parent or guardian has been incarcerated in  a penal institution in the student’s lifetime.

 •Start Date – This is the date of disclosure to campus staff.  

•End Date – The student remains identified as at-risk for the remainder of his/her public school education

.•Districts may legally request this information.  Documentation must be maintained and may include a detailed “memo-to-file.”  
Has the student or parent/guardian been incarcerated within the student's lifetime in a penal institution defined by Penal Code, §1.07? *
If yes please include a detailed "memo-to-file"      FERPA will apply to this memo
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