Muncy School District Kindergarten Registration

 
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 Ward L. Myers Elementary School 
In addition to completing the on-line registration, a meeting must be scheduled to complete and sign additional documents. These enrollment requirements will include: 1. Proof of the child's age. Any one of the following constitutes acceptable documentation: birth certificate, notarized copy of birth certificate, baptismal certificate, copy of the record of baptism-notarized or duly certified and showing the dates of birth, notarized statement from the parents or another relative indicating the date of birth, a valid passport, a prior school record indicating the date of birth. 2. Documentation of immunizations required by law. Acceptable documentation includes the child's immunization record, a written statement from the former school district or from a medical office that required immunizations have been administered, or that a required series is in progress, or verbal assurance from the former school district or medical office that the required immunizations have been completed, with records to follow. 3. Proof of residency. Acceptable documentation includes a deed, a lease, current utility bill, current credit card bill, property tax bill, vehicle registration driver's license, DOT identification card. A district may require that more than one form of residency confirmation be provided. However, school districts and charter schools should be flexible in verifying residency, and should consider what information is reasonable in light of the family's situation. 4. Parent registration statement (Expulsion affirmation statement) 5. Home Language Survey. All students seeking first time enrollment in a school shall be given a home language survey in accordance with requirements of the U.S. Department of Education's Office for Civil Rights.

 
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Person Enrolling Student(s)     
   
  If the student is living with a resident adult other than a parent, please go to the For Parents/"New Student Registration" section of the Muncy School District Website to complete Attachment C. Print the completed form, have it notarized, and bring it to the registration meeting. If a court or dependency order or custody agreement is used as the basis for enrolling the child, a copy of said document must be provided.
   
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Parent/Guardian #1            
   
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Parent/Guardian #2            
   
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Step-Parent/Guardian (1)            
   
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Custody 
Guardianship 
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Foster Care (1305) (Yes or No) 
Group Home (1306) (Yes or No) 
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Name/address of Natural Parent (s): 
   
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Has the student received any special education services?   
Does the student have a 504 Agreement   
Does the student have an IEP?   
Does the child receive ESL services?   
Does the child receive Hearing Impaired Services?   
Does the Child receive speech services?   
Was the student in the process of an evaluation for Special Education services prior to registering at Muncy?  
   
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Inpatient Hospitalization  
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Additional email addresses:   
   
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  Completing this form is only one part of the registration process. A meeting must be scheduled with Mrs. Mary Smith before any child may begin attending school. Please call to schedule the meeting: 570-546-3125, ext. 3450. Please bring the following documents with your to the meeting:
Birth Certificate
Immunization Record
Proof of Residency (Utility Statement, Lease/Rental Agreement, Valid Drivers License, Tax Statement)
Last Report Card/High School Transcript
Custody Documentation (if applicable)
Copy of the Child's IEP (if applicable)

During the registration meeting, a Parental Registration Statement (Attachment A), a Home Language Survey(Attachment B), and an Internet Acceptable Use Policy must be reviewed and signed for each registered child.
   
 
 
 
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