New Student Enrollment
Please complete if you are enrolling your student for the 2023-2024 school year.  This form is designed to enroll only one student at a time.  This is for new students only.   If you have questions, please call 360-532-7181, leave a message and someone will return your call.  You may also contact Mrs. Redner at sredner@cosmopolisschool.com.
Sign in to Google to save your progress. Learn more
Which school year are you enrolling your new student? *
Student's Full Legal Name *
Student's Date of Birth *
MM
/
DD
/
YYYY
Student's Place of Birth (Please provide office a copy of Birth Certificate.) *
Gender *
What grade will your child be in during the 2023-2024 school year? *
What is the primary language spoken in the home? *
What race(s) do you consider your child? *
Is your child of Hispanic or Latino Origin? *
Is there someone living in the home that is active military? *
Primary Household Guardian 1 (where student resides) *
What is your relationship with this student *
Phone Number of Guardian 1 *
Employer Name and Number
Mailing Address of Guardian 1, including city *
Physical Address of Guardian 1, including city *
Email address of Guardian 1 *
Primary Household Guardian 2 (where student resides)
What is your relationship with this student
Clear selection
Phone Number of Guardian 2
Mailing Address of Guardian 2
Physical Address of Guardian 2
Email address of Guardian 2
Second Household Guardian 1 (guardian not residing with student)
Second Household Guardian 1 phone number
What is your relationship with this student
Clear selection
Has your student ever been enrolled in a Washington State school district? Please include school's address if available. *
Please list other siblings attending Cosmopolis Elementary School.
Is there a Parenting Plan/Restraining Order, if yes, provide the office a copy of the document. *
Has your child ever qualified or been enrolled in a special education program? *
How will your child be getting to and from school? *
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Cosmopolis School District. Report Abuse
Google Forms