Ican new student registration

Welcome to the new student registration process!

To register as a new student, please provide the following information:

Student Information

1. Full Name: _____
2. Date of Birth: __
3. Address: __
4. Phone Number: __
5. Email Address: __

Academic Information

1. Grade Level: __
2. Previous School: ___
3. Previous School Address: ___
4. Previous School Phone Number: __
5. Previous School Email Address: __

Parent/Guardian Information

1. Parent/Guardian Name: __
2. Parent/Guardian Contact Information: __
3. Emergency Contact Information: __

Additional Information

1. Special Needs or Accommodations: __
2. Any Medical Conditions: __
3. Any Allergies: __

Proof of Residency

Please provide one of the following documents as proof of residency:

• Utility bill (electricity, water, gas, or internet)
• Lease agreement
• Property deed
• Mortgage statement

Immunization Records

Please provide proof of immunization records, including:

• DTaP (diphtheria, tetanus, and pertussis)
• MMR (measles, mumps, and rubella)
• Varicella (chickenpox)
• Hepatitis B
• Polio

Other Documents

Please provide any additional documents that may be required, such as:

• Birth certificate
• Social Security card
• Proof of citizenship (if applicable)

Once you have completed this registration form, please submit it to the school administration office. We will review your application and contact you if any additional information is needed.

Thank you for choosing our school! We look forward to welcoming you to our community.