PIEDMONT PUBLIC SCHOOLS

Piedmont, OK

K-12 Student Enrollment Form (2023-2024)

For more information on Pre-K enrollment, please contact the enrollment office at 405-373-2311.

Welcome to Piedmont Public Schools! We are thrilled that you are here and ready to enroll your student in our district. As you complete the enrollment document below, you may have some questions. Our enrollment team is here to help!

For assistance, please call us at (405) 373-2311 and ask to speak with an enrollment specialist. You may also email enrollment@piedmontschools.org.

Student Information

Student Legal Namerequired

First Name

Middle (optional)

Last Name

School Siterequired

Piedmont Early Childhood Center (K) For pre-k enrollment, please email enrollment@piedmontschools.org

Northwood Elementary (1-4)

Piedmont Elementary (1-4)

Stone Ridge Elementary (1-4)

Piedmont Intermediate (5-6)

Middle School of Piedmont (7-8)

Piedmont High School (9-12)

Piedmont Virtual Program (K-12)

We're not sure!

Residency Status

I reside within Piedmont Public Schools district boundaries.

I DO NOT reside within Piedmont Public Schools district boundaries. I would like to transfer my student to Piedmont Public Schools. **A Student Transfer Application (see below) must be submitted and approved before completing the enrollment form**

STUDENT TRANSFERS

We appreciate your interest in transferring your student to Piedmont Public Schools. PPS makes decisions about student transfers in accordance with Piedmont Public Schools Board of Education Student Transfers Policy and state law.

The State Department of Education requires that the following form be completed to apply for a transfer: Student Transfer Form. This form must be submitted via email to enrollment@piedmontschools.org.

Student Grade Classificationrequired

Street Addressrequired

Street Address Line 2

Cityrequired

State/Provincerequired

Postal/Zip Coderequired

Housing Addition/Neighborhoodrequired

Primary Phone Numberrequired

Student Date of Birthrequired

Must contain a date in M/D/YYYY format

Student Genderrequired

Place of Birth (City, State)required

Birth Countryrequired

Racerequired(Please check all that apply)

(Please check all that apply)

Is the student Hispanic/Latino?required

(Please check all that apply)

Last School Attended (District, City)

*Please complete the Request for Records form at the bottom of this page.

Please select up to 10 choices

Is the student currently in a foster care program?required

Is there court-issued paperwork regarding custodial parent information?required

Parent/Guardian Information

Name (Parent/Guardian 1)required

First Name

Last Name

Primary Email Addressrequired

Primary Phone Number of Parent/Guardianrequired

Relationship to Studentrequired

Are you the legal guardian of the student?required

Does the student reside with you?required

Parent/Guardian Address Information (If different from the student's primary address)

Street Address

Street Address Line 2

City

State/Province

Postal/Zip Code

Are you an active military member?required

Name (Parent/Guardian 2)

First Name

Last Name

Primary Email Address

Primary Phone Number of Parent/Guardian

Relationship to Student

Are you the legal guardian of the student?

Does the student reside with you?

Parent/Guardian Address Information (If different from the student's primary address)

Street Address

Street Address Line 2

City

State/Province

Postal/Zip Code

Are you an active military member?

Emergency Contacts

Name (Emergency Contact 1) Someone other than parent/guardian listed in previous section

First Name

Last Name

Someone other than parent/guardian listed in previous section

Relationship to Student/Family

Primary Phone Number

Street Address

Street Address Line 2

City

State/Province

Postal/Zip Code

Name (Emergency Contact 2)Someone other than parent/guardian listed in previous section

First Name

Last Name

Someone other than parent/guardian listed in previous section

Relationship to Student/Family

Primary Phone Number

Street Address

Street Address Line 2

City

State/Province

Postal/Zip Code

Siblings Attending Piedmont Schools

Name (Sibling 1)

First Name

Last Name

Student Grade Classification

Name (Sibling 2)

First Name

Last Name

Student Grade Classification

Medical Conditions

Allergies

Health Conditions and/or Physical Limitations

Past Illness/Surgeries

Regular Medications

(Please include those only given at home)

TREAT & TRANSPORT

In case of an emergency situation involving your child, school administrators will make every effort to contact you; however, in a life-threatening situation, they will proceed in calling 911. Once paramedics arrive, in your absence, all decisions will be made by school administrators and emergency personnel, including the decision, if, when, and where to transport to a medical facility.

Consents

Permission for vision/hearing/speech/dental/scoliosis screenings:required

Permission for district-sponsored field trips:required

Permission to receive automated phone calls/text messages from the school district:required

I hereby authorize the Oklahoma Immunization Service to release my immunization records and information located within the Oklahoma State Immunization Information System (OSIIS) to Piedmont Schools.required

In order to complete your student's enrollment application, please attach the following required documents:

1. A state-issued birth certificate

2. Driver's License of Parent/Guardian with Current Address

3. Current Immunization Record

For school enrollment, a parent or guardian shall provide one of the following:
- 1. Current, up-to-date immunization records; OR
- 2. A completed and signed exemption form.

4. TWO Current Utility Bills (Ex.: gas, electric, or water)

5. Mortgage Statement or Rental/Lease Agreement

Click to download the required fillable forms below. Once completed and saved, attach the form below.

6. Home Language Survey

7. Internet Access Conduct Agreement

8. Student Custody Information

9. Indian Education Form* (if applicable)

10. Release of Educational Records* (if applicable)

State-Issued Birth Certificaterequired