Common Contracts
4 similar Registration Form contracts
Parent Agreement Tuition Agreement Immunization Record Medication ReleaseRegistration Form • January 28th, 2022
Student Last Name First Name Middle Name Nickname Entering Grade (circle grade level desired)N3 PreK K5 1st 2nd 3rd 4th 5th 6th 7th 8th 9th 10th 11th 12th Age Gender Birthdate Home Phone Cell Phone Custodial Parent(s) or Legal Guardian(s) First and Last Name(s) Relationship to Student Marital Status: □ Married □ Single □ Separated □ Divorced □ One Parent Deceased□ Student Living With Parent, Step-Parent or Other If Divorced, Who Has Custody for Decision Making? □ Joint □ Father □ Mother (Copy of Custodial Papers Required) Address City Zip School District Email Address Communication Preference □ Phone □ Email □ Mail Non-Custodial Parent Name (If Applicable) Address Phone Father’s Work Place Father’s Work Phone # Father’s Cell Phone # Mother’s Work Place Mother’s Work Phone # Mother’s Cell Phone # Church Home Pastor Youth Pastor Frequency of Attendance□ Weekly □ Frequently □ Infrequently Member of First Baptist Church of Dunkirk□ Yes □ No Ethnicity Code NYS Reporting Codes: 1 – American
Parent Agreement Tuition Agreement Immunization Record Medication ReleaseRegistration Form • February 18th, 2021
Student Last Name First Name Middle Name Nickname Entering Grade (circle grade level desired)N3 PreK K5 1st 2nd 3rd 4th 5th 6th 7th 8th 9th 10th 11th 12th Age Gender Birthdate Home Phone Cell Phone Custodial Parent(s) or Legal Guardian(s) First and Last Name(s) Relationship to Student Marital Status: □ Married □ Single □ Separated □ Divorced □ One Parent Deceased□ Student Living With Parent, Step-Parent or Other If Divorced, Who Has Custody for Decision Making? □ Joint □ Father □ Mother (Copy of Custodial Papers Required) Address City Zip School District Email Address Communication Preference □ Phone □ Email □ Mail Non-Custodial Parent Name (If Applicable) Address Phone Father’s Work Place Father’s Work Phone # Father’s Cell Phone # Mother’s Work Place Mother’s Work Phone # Mother’s Cell Phone # Church Home Pastor Youth Pastor Frequency of Attendance□ Weekly □ Frequently □ Infrequently Member of First Baptist Church of Dunkirk□ Yes □ No Ethnicity Code NYS Reporting Codes: 1 – American
Parent Agreement Tuition Agreement Immunization Record Medication ReleaseRegistration Form • January 31st, 2020
Student Last Name First Name Middle Name Nickname Entering Grade (circle grade level desired)N3 PreK K5 1st 2nd 3rd 4th 5th 6th 7th 8th 9th 10th 11th 12th Age Gender Birthdate Home Phone Cell Phone Custodial Parent(s) or Legal Guardian(s) First and Last Name(s) Relationship to Student Marital Status: □ Married □ Single □ Separated □ Divorced □ One Parent Deceased □ Student Living With Parent, Step-Parent or Other If Divorced, Who Has Custody for Decision Making? □ Joint □ Father □ Mother (Copy of Custodial Papers Required) Address City Zip School District Email Address Communication Preference □ Phone □ Email □ Mail Non-Custodial Parent Name (If Applicable) Address Phone Father’s Work Place Father’s Work Phone # Father’s Cell Phone # Mother’s Work Place Mother’s Work Phone # Mother’s Cell Phone # Church Home Pastor Youth Pastor Frequency of Attendance□ Weekly □ Frequently □ Infrequently Member of First Baptist Church of Dunkirk□ Yes □ No Ethnicity Code NYS Reporting Codes: 1 – American
Parent Agreement Tuition Agreement Immunization Record Medication ReleaseRegistration Form • March 14th, 2019
Student Last Name First Name Middle Name Nickname Entering Grade (circle grade level desired)N3 PreK K5 1st 2nd 3rd 4th 5th 6th 7th 8th 9th 10th 11th 12th Age Gender Birthdate Home Phone Cell Phone Custodial Parent(s) or Legal Guardian(s) First and Last Name(s) Relationship to Student Marital Status: □ Married □ Single □ Separated □ Divorced □ One Parent Deceased □ Student Living With Parent, Step-Parent or Other If Divorced, Who Has Custody for Decision Making? □ Joint □ Father □ Mother (Copy of Custodial Papers Required) Address City Zip School District Email Address Communication Preference □ Phone □ Email □ Mail Non-Custodial Parent Name (If Applicable) Address Phone Father’s Work Place Father’s Work Phone # Father’s Cell Phone # Mother’s Work Place Mother’s Work Phone # Mother’s Cell Phone # Church Home Pastor Youth Pastor Frequency of Attendance□ Weekly □ Frequently □ Infrequently Member of First Baptist Church of Dunkirk□ Yes □ No Ethnicity Code NYS Reporting Codes: 1 – American
