Caesar Rodney School DistrictEnrollment Form • April 15th, 2010
Contract Type FiledApril 15th, 2010Last Name: First Name: Middle Name: Birth Date: Place of Birth: Grade: 🞎Male 🞎Female Ethnic Origin: 🞎American Indian 🞎Black 🞎Asian 🞎Hispanic 🞎White 911 Street Address: Mailing Address: City, State, Zip Code: City, State, Zip Code: Residency Documented By: 🞎Current Utility Bill(s) 🞎Mortgage/Lease Agreement 🞎Other: Home Telephone #: Military Base Housing: 🞎Yes 🞎No