Smithton R-VI School District
Please complete the following form if you are enrolling a NEW student to Smithton R-VI School District. If your child is already enrolled please log into the Parent Portal. Please include all NEW students you wish to enroll at this time. After you complete the form you will be contacted by a district employee with further instructions to complete your child(s) registration.
**Completing this form does not guarantee enrollment. Your child is not enrolled in our district until all forms are completed and required documentation is supplied and approved. If you have any questions or have problems completing this form please contact Daisy Adams at 660-343-5316 ext. 103.
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Household Parent/Guardian Information
Please complete the below information for the household parent/guardian of the child you wish to enroll.  
Household Parent/Guardian Name *
Household Parent/Guardian Relationship to Student(s) *
Physical Street Address *
City *
Zip *
County you reside in *
Household Parent/Guardian Preferred Phone Number *
Household Parent/Guardian Email Address *
Additional Household Parent/Guardian Name *
Additional Household Parent/Guardian Relationship to Student
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