Non-Resident Application for Enrollment                    2023-2024 School Year 
We are delighted with your interest in Newport Independent and look forward to working with you.  Please complete one form for each child you wish to enroll.  A Student Services staff member will review the non-resident application once completed and will be in contact.  
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Student's Name (First, Middle, Last) *
Primary Parent/Guardian Name *
Secondary Parent/Guardian Name *
Address *
Preferred Contact Phone Number *
Student's Date of Birth *
MM
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DD
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YYYY
Grade level of the child for the 2023-2024 school year *
School District name in which reside *
Current School Name *
Were you accepted as a non-resident at Newport Independent in school year 22-23? *
Reason for Transfer *
Has this student been suspended from school within the 2022-2023 school year? *
Is your child currently receiving services at school through any specialized program?  Enrollment in specialized programs does not prohibit enrollment.   *
Required
List the number of days  the student was not in attendance in the last school year (excused and unexcused) *
Do you plan to enroll other children in the home, now or in the future *
Please list the names and ages of all other children living in the household.   *
I understand that by living outside of Newport Independent boundaries, I am responsible for transporting my child to and from school each day.  I attest that the information provided is true and accurate.   *
Parent/Guardian Signature *
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