2021-2022 Student Registration Form
After the state of Ohio's school building closure is lifted, someone from YCS will be in contact with you to complete the registration process.  If you are new to the school, we will need the child's birth certificate, shot record, custody papers (if applicable) and 2 proofs of residency, and parent driver's license/state i.d.
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Name of Child *
Male/Female *
Child's birthday *
Address *
Mother's full name *
Mother's phone number *
Father's full name *
Father's phone number *
What grade is the child entering? *
Is your child currently enrolled in YCS? *
Does the child have siblings at YCS? *
If yes, please list siblings and grades
Has your child ever been retained? *
If yes, in what grade was your child retained?
What other school(s) has your child attended?  Please list school, city and grade.
Is your child currently in a SPECIAL NEEDS PROGRAM with an ETR or/and IEP?   *
If yes, where is your child in the special needs program?
If you child is in a special needs program, what program?
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How did you hear about Youngstown Community School?
Name of person filling out the form? *
Relationship to student? *
Date *
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