Common Contracts
3 similar Student Enrollment & Emergency Consent Form contracts
ContractStudent Enrollment & Emergency Consent Form • June 21st, 2023
Perry Township Schools6548 Orinoco Avenue ∙ Indianapolis, Indiana 46227 ∙ 317.789.3700 School Name/Code STUDENT ENROLLMENT & EMERGENCY CONSENT FORM 24-25Enrollment Date Current Grade (based on # of years in H.S. if applicable) Graduation Year STUDENT INFORMATION Last First Middle Lineage (i.e. Jr, I, II, etc.) Male Female DOB Street Address City State Zip Code Is the name or rental agreement for the address listed in your name Yes No STUDENT BIRTH INFORMATION Place of Birth: City State County Born Outside of U.S.? Yes No If yes, which country Is the student a refugee? I-94 U.S. Arrival Date Resettlement Agencies (circle one) Catholic Charities - Exodus - Out of State Agency PARENT/GUARDIAN CONTACT INFORMATION Parent/Guardian 1 Parent/Guardian 2 Name Relationship to Student Address City, State, Zip Home # Work # Cell # Preferred Email: Name Relationship to Student Address City, State, Zip Home # Work # Cell # Preferred Email: STUDENT LIVES WITH: Who is Legal Guardian and/or has Legal C
ContractStudent Enrollment & Emergency Consent Form • December 9th, 2021
Perry Township Schools6548 Orinoco Avenue ∙ Indianapolis, Indiana 46227 ∙ 317.789.3700 School Name/Code STUDENT ENROLLMENT & EMERGENCY CONSENT FORM 22-23Enrollment Date Current Grade (based on # of years in H.S. if applicable) Graduation Year STUDENT INFORMATION Last First Middle Lineage (i.e. Jr, I, II, etc.) Male Female DOB Street Address City State Zip Code Is the name or rental agreement for the address listed in your name Yes No STUDENT BIRTH INFORMATION Place of Birth: City State County Born Outside of U.S.? Yes No If yes, which country Is the student a refugee? I-94 U.S. Arrival Date Resettlement Agencies (circle one) Catholic Charities - Exodus - Out of State Agency PARENT/GUARDIAN CONTACT INFORMATION Parent/Guardian 1 Parent/Guardian 2 Name Relationship to Student Address City, State, Zip Home # Work # Cell # Preferred Email: Name Relationship to Student Address City, State, Zip Home # Work # Cell # Preferred Email: STUDENT LIVES WITH: Who is Legal Guardian and/or has Legal C
ContractStudent Enrollment & Emergency Consent Form • December 9th, 2021
Perry Township Schools6548 Orinoco Avenue ∙ Indianapolis, Indiana 46227 ∙ 317.789.3700 School Name/Code STUDENT ENROLLMENT & EMERGENCY CONSENT FORM 23-24Enrollment Date Current Grade (based on # of years in H.S. if applicable) Graduation Year STUDENT INFORMATION Last First Middle Lineage (i.e. Jr, I, II, etc.) Male Female DOB Street Address City State Zip Code Is the name or rental agreement for the address listed in your name Yes No STUDENT BIRTH INFORMATION Place of Birth: City State County Born Outside of U.S.? Yes No If yes, which country Is the student a refugee? I-94 U.S. Arrival Date Resettlement Agencies (circle one) Catholic Charities - Exodus - Out of State Agency PARENT/GUARDIAN CONTACT INFORMATION Parent/Guardian 1 Parent/Guardian 2 Name Relationship to Student Address City, State, Zip Home # Work # Cell # Preferred Email: Name Relationship to Student Address City, State, Zip Home # Work # Cell # Preferred Email: STUDENT LIVES WITH: Who is Legal Guardian and/or has Legal C
