Registration & Permissions Update
Dear Families,

Please respond to these questions by Friday, September 9 at noon.  

If you complete this information for your family by the first day of school, your name will be entered into a drawing for a $50 gift card.  We appreciate your timeliness!   

Thank you! Mrs. Piazzola and Mrs. Harp
Sign in to Google to save your progress. Learn more
Email *
Demographic & Residency Questionnaire
Household Last Name(s): *
Please list ALL children under 18 living in the household: *
Please list your household's physical address: *
Check any that apply: *
Required
If you answered non-traditional housing, please check any that apply:
If you checked any of the boxes above, please choose any of the following that apply:
Have there been any changes to phone numbers, email addresses, additional households, or emergency contacts in the last year?   *
If you answered Yes above, please list any updates or new contact information you would like added to your registration:
The 2019 Montana Legislature passed Senate Bill MTSB40, requiring the Office of Public Instruction to create and maintain an electronic directory photograph repository of all Montana public school students.  The purpose being solely to assist law enforcement officials in locating a student that has been identified as a missing child.  Parents/Guardians must "Opt-In" to have their child's photo included in the state repository. *
Local Photo/Media Release:  Throughout the school year, your child maybe photographed at various school-sponsored events.   In addition, information may be shared about students to different forms of media.  Examples of such sharing may include team photos, academic honors, student artwork, or literature.  Please indicate below all instances in which Cayuse Prairie staff may use photos or release information regarding your student: *
Required
Email Communication:  The Family Education Rights & Privacy Act (FERPA) prohibits teachers from discussing student issues, even with parents, via email, without permission from a parent or guardian.  Many parents and teachers find email an efficient means of communication.  In addition, newsletters and other mailings save money when sent electronically.  Please list your email address(es) below, to authorize electronic communication:
Health History Update
Please note: If you are a new family this school year and have already completed registration paperwork, you may answer NA if the question is required.
Have any of your student children developed any new allergies or health conditions within the past year? If so, please list the student and the additional information regarding the condition and/or treatment: *
Do any of your student children require medication to be administered during the school day?  If so, please list student, medication, and dosage.  (In the event that medication is required on a temporary basis during the school year, please bring the medication to the nurse's office with a note of time and dosage.) *
In the event your child is sent to the office for illness or injury, do you authorize Cayuse Prairie Office/Healthcare staff to issue over-the-counter medication and/or treatment prior to contact with a parent/guardian? *
If you answered "YES" above, which medications do you authorize?  Please check all that apply: *
Required
If any of your student children are exceptions to the above medication questions/answers, please list here:
Next
Clear form
Never submit passwords through Google Forms.
This form was created inside of Cayuse Prairie School. Report Abuse