2020-21 New Student Enrollment

REGISTRATION ON THIS FORM IS FOR THIS YEAR (2020-21) ONLY!

>>CLICK HERE FOR 2021-22 PRE-ENROLLMENT<<

Please complete one form per child.

IMPORTANT:

If your child was in the district last year, you do not need to register.
To confirm South Redford is your home district, please click this link

Pre-K Registration is now closed; no slots available
Students must be 5 years old by December 1st in order to enroll in Kindergarten.

Street Address*

City, State, Zip

Answer Required

Home Phone*

Please enter a "1" first

Answer Required

Female Head of Household First Name

Answer Required

Female Head of Household Middle Name

Answer Required

Female Head of Household Last Name

Answer Required

Female Head of Household Relationship to Student

Answer Required

Natural Parent

Step Parent

Court Guardian

Grandparent

Foster Parent

Other:

Female Head of Household Mobile Phone*

Answer Required

Female Head of Household Email

Answer Required

Male Head of Household First Name

Answer Required

Male Head of Household Middle Name

Answer Required

Male Head of Household Last Name

Answer Required

Male Head of Household Relationship To Student

Answer Required

Natural Parent

Step Parent

Court Guardian

Grandparent

Foster Parent

Other:

Male Head of Household Mobile Phone*

Answer Required

Male Head of Household Email

Answer Required

Student First Name*

Answer Required

Student Middle Name*

Answer Required

Student Last Name*

Answer Required

Student birth date*

Answer Required

Sex of Student*

Answer Required

Male

Female

School last attended*

Answer Required

Has the student attended a South Redford school before?

If "yes," please indicate which school(s) and when.

Answer Required

Does your child have a 504 Plan?*

Answer Required

YES

Does your child have an IEP?*

If so, please call Sue Hunter at 313-242-0533 to provide documentation.

Answer Required

YES

IMPORTANT NOTE: The next five questions are REQUIRED by the U.S. Department of Education.

Language your child learned when he/she first began to talk*

Answer Required

English

Other:

Language spoken by the student*

Answer Required

English

Other:

Language spoken in the home*

Answer Required

English

Other:

PART A - Ethnicity: Is the student's ethnicity Hispanic or Latino? *

Answer Required

Yes

PART B - Race: (Select all that apply)*

Answer Required

Black or African American

White

Asian

American Indian or Alaskan Native

Native Hawaiian or Other Pacific Islander

Check in the boxes below if you DO NOT grant permission for your child's name and/or pictures to be released for:

Answer Required

Publications (such as: local newspapers, community newsletters, district or school websites)

Directory information to be released to U.S. Armed Service recruiters

Directory information released to colleges & other education institutions, prospective employers & appropriate third parties

Current Health Insurance*

Answer Required

None

Private

Medicaid

MiChild or Healthy Kids

Other:

Health Conditions*

Answer Required

None

Asthma

Diabetes

Seizures

Seasonal allergies

Severe allergies

Other:

Please list any medications your child is taking.*

Answer Required

Doctor*

Answer Required

Doctor phone number*

Answer Required

Other children in the family/household living at same address

Include: First and Last Name; Birth Date; Grade; School Child Attends; Relationship to Student

Answer Required

EMERGENCY CONTACT INFORMATION

Please list two nearby persons who will assume care of your child if you cannot be contacted. (These should be individuals who are not already listed on the form).

By completing this form, I hereby authorize the staff members of the South Redford School District to take whatever emergency actions they deem necessary in the event they are unable to contact us if our child requires help.

EMERGENCY CONTACT 1

First Name*

Answer Required

Last Name*

Answer Required

Street Address*

Answer Required

City*

Answer Required

Zip/Postal*

Answer Required

Phone*

Answer Required

EMERGENCY CONTACT 2

First Name*

Answer Required

Last Name*

Answer Required

Street Address*

Answer Required

City*

Answer Required

Zip/Postal*

Answer Required

Phone*

Answer Required

Question

Answer Required

Does the child have a parent serving in a branch of the Armed Services?*

Answer Required

Yes

Is anyone court-ordered to not be allowed contact with the student?*

If so, please provide documentation in the followup form.

Answer Required

Yes

DATA FOR PARENT NOT LIVING WITH STUDENT

First Name

Answer Required

Last Name

Answer Required

Street Address

Answer Required

City

Answer Required

Zip/Postal

Answer Required

Middle Name

Answer Required

Mobile Phone*

Answer Required

Street Address

Answer Required

City

Answer Required

Zip/Postal

Answer Required

Is this parent authorized to have access to student records and receive district mailings?

Answer Required

Yes

Do you wish to have this parent identified as an emergency contact?

Answer Required

Yes

Work Phone*

Answer Required

PARENT/GUARDIAN AFFADAVIT

I DECLARE THAT I PHYSICALLY RESIDE AT THE ADDRESS PROVIDED AS MY "HOME ADDRESS." I have no address other than that listed on this affadavit. The documents I have/will submitted/submit are valid.*

Please click 1 OR 2 AND 3-7.

Answer Required

1. I am a resident of the South Redford School District

2. My residence is located outside of the South Redford District boundaries and my child is entering Kindergarten, 1st grade, 2nd grade, SOAR, or the Eagle Scholars Program.

3. I further declare that I sleep and eat at this residence and will be available for contact by officials of the South Redford School District at this address.

4. I also declare that I am in compliance with the General School Laws of the State of Michigan, including Section 380.1148, which forbids placing a child "for an educational purpose" in a school district in which the parents or legal guardians of that child are not legally residing if open enrollment for my child is not an option.

5. I also further declare that I have legal custody (guardianship) of the child I am enrolling.

6. I further declare that my child/student has not been expelled from another school.

7. I further understand that if statements made on this affidavit change, or are provided to be untrue, my child/children's enrollment will be immediately terminated in the South Redford School District; and I will be liable for ALL COSTS incurred while my child was illegally enrolled in the South Redford School District.

I affirm and certify that all the information and answers to questions herein are accurate and true. I understand that any misrepresentation, falsification, or omission of any facts or documents called for in the student registration process may render this application void.*

Please type your full name below.

Answer Required

You will be receiving an URGENT email regarding uploading documents. Please attend to this matter immediately.

For staff use only (leave blank).

Answer Required

Thank you for submitting your online registration. Students will start 2 business days after all required enrollment documents have been submitted. Be on the lookout for an email to upload documents. If you are unable to upload your documents online, please contact your child's school to make an appointment to bring in documents.

Please fix the highlighted areas below before submitting.

2020-21 New Student Enrollment