Silver Consolidated Schools Zone Exemption / Open Enrollment Form 24-25
Please fill out this form if your child currently particpates in the open enrollment program or you would like to be considered for open enrollment.

Note: The following conditions apply to the open-enrollment program:
1. An attendance application must be completed and submitted.
2. Enrollment is subject to the capacity limit established for the school and/or its grade levels.
3. Prior to the beginning of the semester, the parent or legal guardian will be notified in writing whether the application has been accepted, rejected, or placed on a waiting list.
4. Transportation for the student shall be the responsibility of the parent or legal guardian.
5. Providing false information on this form may result in the application being denied or admission being revoked.
The signatory affirms that the student will abide by the rules, standards, and policies of the school and the District if enrolled
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Email *
Student Name *
Current Grade *
Birth Date *
MM
/
DD
/
YYYY
Home Phone Number *
Work Phone Number *
Parent's Name *
Home Address (Street, City, Zip Code) - Post Office Box is not acceptable as a home address. *
Student's home address is: *
Current School of Attendance *
If Other above, please enter the name of the school, city, and state.
Zoned for Which School *
Request Assignment to: *
Is the above named-student: Subject to expulsion or long-term suspension from a school or school district within the last twelve (12) months? *
Is the above named student:  In compliance with conditions of disciplinary action in any school or school district within the last twelve (12) months? *
By clicking the "submit" button below, I declare that the information I have provided is true.  Please type your name as a legally binding electronic signature to the information on this form. *
A copy of your responses will be emailed to the address you provided.
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