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  • Student Information

    Last School Attended
    If Yes
    Student Physical Address
    Student's birthplace
    Parent / Guardain Information - Contact #1
    Parent / Guardain Information - Contact #2
    Emergency Contact #1
    Emergency Contact #2
    If yes, please explain and provide appropriate doucments ( For Example, Court Orders).
    If yes, please explain and provide appropriate doucments ( For Example, Court Orders).
    Mother Detail


    Click Title heading to open the form

    Primary Home language Survey Form

    Proof of Residance Form

    According to Shelby Country Board Of Education Policy 6002, Only students whose parents/legal guardians reside within Shelby County Schools district may attend Shelby County Schools.
    I have provided the following items as proof of my residence bearing the address of my current residance. Please check two (2) of the following items listed below.
    Most recent previous address
    According to Shelby county Board of Education policy 6002, parents/guardains who live with another person must provide additional information to the school during registration for Shared Residency Verification.

    Parents who move from the address provided at registration must submit an Eligible Circumstance Request for Transfer via an electronic process. Approval must be obtained through student services for Continued enrollment.

    I do solemnly declare that the information I have given is true and correct to the best of my knowledge and belief. I understand that I may be charged for the cost of my child's education if I do not live in the Shelby County school District TCA 49-6-3003

    Authroization For Medication During School Hours

    Verification