2020-2021 Enrollment Interest Form

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Please complete the form below if you are interested in sending your student to Eastern Regional High School for the current school year (2020-2021). Please note that this is only an interest form and does not mean your student has been enrolled to Eastern Regional High School. By completing this form, you are hereby giving permission to the Eastern Regional Guidance Office to reach out to you with Registration Information via mail and/or email. A New Registration Packet will be emailed out within one week of the completion of this inquiry form.
NOTE: Please continue to check the website for updates about school operations: https://www.eccrsd.us/Page/2535

If you have any questions or concerns, please contact Mrs. Cynthia Kendall at ckendall@eccrsd.us at any time.

Email *

1. Student(s) First and Last Name(s) *

2. Who is registering the student (first & last name) and what is your relationship to the student? (ex. Jane Doe: Step-Mother) *

3. Most recent school at which each student was enrolled in 2020-2021 (ex: John Smith-USA High School): *

4. Has the student been fully withdrawn from the most recent school? *

Yes, we have contacted the school and the student has been withdrawn

No, we have not yet started the withdrawal process with the school

We have just contacted the school and are waiting to finalize the process

5. Current grade level for each student for 2020-2021 (ex: John Smith - 9) *

6. Do any of your students have either an IEP or 504 Plan? (Please list the student's name(s) and which plan if applicable or write "N/A" if none) ex: John Smith-IEP, Jane Doe - N/A *

Will the student be attending school remotely or for in-person instruction whenever available? *

Throughout this school year, we have had options for students to attend in person or remotely. More information will be provided once we are in the enrollment process. You can change your mind on how your student attends but please advise what option you and your student are currently considering.

100% remote

Student will attend the 2-day hybrid option (2 days in person, 3 remote)

Student will attend the 4-day hybrid option (4 days in person, 1 remote)

7. Do you currently live in either Voorhees, Berlin Borough, or Gibbsboro? *

Yes (please skip to Question 9)

No (please answer Question 8)

8. If you said "No" to the above question, please advise which option below matches your situation:

We will be moving into the district at some point before the start of the 2020-2021 school (Please answer question 9 if you have a move-in date)

We would like to inquire about tuition options

We have not yet decided whether we will or will not move into one of the districts

Clear selection

9. When did you or will you move into the district?

YYYY

10. Please provide your current mailing address so that any important and applicable information that is mailed out will also be sent to you accordingly. Please note that not all information that is concerning the students from the sending districts will apply to your student at this time. *

11. Best Phone Number to Call (Though Email communication will be the primary form of communication) *

A copy of your responses will be emailed to the address you provided.

Submit

Clear form

Never submit passwords through Google Forms.

reCAPTCHA

Privacy Terms

This form was created inside of Eastern Camden County Regional School District. Report Abuse

Forms