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2021-2022 Mockingbird Elementary New Student Enrollment Request
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* Indicates required question
Student First Name:
*
As printed on Birth Certificate
Your answer
Student Last Name:
*
As printed on the Birth Certificate
Your answer
Student Date of Birth:
*
MM
/
DD
/
YYYY
Student Gender
*
Male
Female
Your relationship to student:
*
Parent
Legal Guardian
Are there any custody arrangements or special circumstances?
Legal paperwork may be needed
Your answer
Parent/guardian first name:
*
Your answer
Parent/guardian last name:
*
Your answer
Best phone number to reach you:
*
Your answer
E-mail address
*
This needs to be an email address you regularly use and/or check
Your answer
Parent/Legal Guardian email
*
This needs to be the one you regularly use and/or check
Your answer
Physical Home Address
*
Your answer
Mailing Address
If different than physical address
Your answer
Do you have any other children that will be attending a different Coppell ISD campus?
*
If yes, please specify which campus
Your answer
Has your student ever attended Coppell ISD?
*
Yes
No
For which grade are you enrolling your student for the 2021-2022 school year?
*
Kindergarten
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
Previous school, if applicable:
Your answer
Has your student been identified for any of the following special programs: ESL, GT, SPED, 504, Dyslexia, Speech?
*
Yes
No
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