2023-2024 Northview High School Enrollment
This form is for students who wish to enroll at Northview High School for the 2023-2024 school year.  

*Existing students DO NOT need to re-enroll each year.  
*Students entering 9th grade from North Clay Middle School DO NOT need to re-enroll.
*Students may only be enrolled by the PARENT or LEGAL GUARDIAN.  

*Please provide the office with a copy of the student's Birth Certificate and Proof of Residency (*Examples:  Utility Bill, Rental Agreement or Phone Bill.  Must be dated within the last 60 days and must have the parent or legal guardian's name.)  

*If applicable, please provide a copy of legal guardianship/custody paperwork.

Email the Registrar, Kristy Lutes, with any questions:  Luteskr@clay.k12.in.us 

Sign in to Google to save your progress. Learn more
Email *
Grade Level for 2023-2024 School Year: *
Enrolling for: *
Has the student ever attended Clay Community Schools? *
If answered "Yes" above, please list the CCS school the student last attended:
Student's Legal Last Name *
Student's Legal First Name *
Student's Legal Middle Name *
Student's Date of Birth (00/00/0000 *
MM
/
DD
/
YYYY
Student's Social Security Number (000-00-0000)
Student's Gender *
Primary Phone Number (000-000-0000) *
County of Legal Residence *
Student Lives With: *
Is this student a Foster Child?  (If yes, legal documentation must be provided to the school.) *
Primary Guardian's Name:  (*If Guardian is someone other than the parent, you must provide legal documention to the school) *
Primary Guardian's relationship to student: *
Primary Guardian's Day Phone Number (000-000-0000): *
Primary Guardian's Home Phone Number (000-000-0000): *
Primary Guardian's Email: *
Primary Guardian's Employer: *
Secondary Guardian's Name:
Secondary Guardian's relationship to student:
Secondary Guardian's Day Phone Number (000-000-0000):
Secondary Guardian's Home Phone Number (000-000-0000):
Secondary Guardian's Employer:
Home Address where Student resides:   *
Mailing Address (if different than Home Address):
Sibling First & Last Name(s):
Student's Native Language: *
Is Student Hispanic/Latino? *
Race:  (Choose all that apply) *
Required
Has the student received Special Services at their previous school? *
Name and Contact Information of last school attended: *
Has the student been suspended, expelled, or had unexcused absences during the last 12 months?  *If yes, please list details below: *
Emergency Contact(s) Please list NAME, RELATIONSHIP and PHONE NUMBER:  (May list up to 3 people)
Primary Doctor and Phone Number:
Please list any allergies the student may have:
Please list any medical considerations the student may have:
Please list any medications the student is prescribed:
Will medication need to be given at school?
Clear selection
Is there anyone, by court order, who should not have contact with this student?  (Legal documentation must be provided to the school.) *
If you answered "YES" to the above question, please provide details below:
Did the student participate in an Athletic Sport at their previous school?  *If yes, please list sport(s)
Anticipated start date: *
Does the student have any class enrollment requests?  *Requests will be taken in to consideration when scheduling, but are not guaranteed.
Name of person enrolling student:  *Must be a Parent or Legal Guardian. *
Relationship to student:  *Must be a Parent or Legal Guardian. *
Required
Next
Clear form
Never submit passwords through Google Forms.
This form was created inside of Clay Community Schools. Report Abuse
Google Forms