Registration Form

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Registration Form

This form is required to enroll a returning student in Pearce Elementary School. This form must be completed before the first day of school. Students who do not have a completed form the first day of school will start the day AFTER this form is completed.

Email *

Student's Last Name *

Student's First Name *

Grade for 24/25 School Year *

Student's Birth Date *

YYYY

Birthplace (City, State) *

Gender *

Female

Male

Ethnicity *

Hispanic/Latino

NOT Hispanic/Latino

Race *

Phone Number for All Call Messages *

Physical Address (Address, City, State, Zip Code) *

Mailing Address if different from Physical (Address, City, State, Zip Code)

What is the Primary Language Used In the Home Regardless of the Language Spoken by the Student? *

What is the language most often spoken by the student? *

What is the language that the student first acquired? *

Preferred Language for Messages/mailings to be sent to home? *

Parent Living at Address (Name, Phone, Email) *

Parent Living at Address (Name, Phone, Email)

Parent Living at Alternate Address (Name, Address, Phone, Email)

Emergency Contacts (Name, Phone, Relationship) *

Please mark any items that apply and provide school with copies *

Custody/guardianship issues

Power of Attorney

Student is not living with his/her biological parents

Student has an injunction against harassment against/from another person

Student has an order of protection against/from another person

Student is covered by a court order regarding school

None of the above

Required

Siblings List(List ALL brothers/sisters and ages)

I understand it is my responsibility to notify the school in writing of any changes to the above information. *

Yes

Opt Out Options

Student Internet
Pearce Elementary School provides internet access to support academic activities. Teachers provide guidance and direction on the appropriate use of the Internet. In accordance with federal Child Internet Protection Act (CIPA), the district uses filters to block access to Web content that is inappropriate.
Directory Information
The district my disclose information that is generally not considered harmful or an invasion of privacy if the primary purpose is to allow the district to include this type of information in certain school publications, such as yearbooks, newsletters, playbills or honor rolls. Directory information includes the student's name, address, email address and telephone numbers; the parent's names, address and telephone numbers; the student's photograph; date and place of birth; grade level; enrollment dates; weight and height if the student is a member of an athletic team; awards received; and extracurricular participation. The district will not disclose directory information unless the district will use the information in a publication or a third part has requested the information for a reason that, in the judgment of the district, serves the student's best interest. For example, the district will comply with directory information requests from another school in which a student seeks to enroll, universities and colleges, law enforcement and Child Protective Services. The district will provide directory information for commercial purpose only if beneficial to students, such as yearbooks.
How to Opt Out
You may opt out of directory information releases by completing an Opt Out form and submitting it to the school office within the first two weeks of school or enrollment, whichever is later.
You may opt out of student Internet access by completing an Opt Out form and submitting it to the school office anytime during the school year.
This form must be resubmitted at the beginning of each school year.

Attendance

We count on parents to ensure that children attend school and arrive on time.
Absences-State law requires that parents contact the school to authorize absences before or during their children's absences. If we don't hear from parents, parents will receive a automated call from the school. Let us know right away if you change phone numbers.
Parents should provide notes from doctors and dentists to excuse children for appointments, illnesses or injuries.
If parents do not authorize absences within one day after their children's return to school, absences are unexcused.
Parents who anticipate extended absences should contact the school. If they do not, children are withdrawn from school after missing 10 days in a row.
Tardiness-Students are tardy if they are not seated when the bell signals the start of class.
Truancy-Law enforcement officers may talk to parents about the legal consequences of truancy. If students are habitually truant or excessively absent, parents and students may be cited and referred to the court. Students are considered habitually truant if they have five or more unexcused absences. They are excessively absent if they have 18 or more excused or unexcused absences.

I understand that it is my responsibility to notify the school if my child needs to leave school or will be absent from school for appointments or other circumstances. *

Yes

I affirm all registration and emergency information on this form is accurate and I have read and understand the information provided to me regarding student health conditions, opt out options and attendance. Type name and date *

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