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2021-2022 Enrollment Forms

Required

Piedmont Public Schools Logo - Gold P Outlined in Blue

PIEDMONT PUBLIC SCHOOLS

Student Enrollment Form (2021-2022)


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
Racerequired
(Please check all that apply)
Student currently receives the following services:
(Please check all that apply)
*Please complete the Request for Records form at the bottom of this page.
Grades Repeated
Please select up to 10 choices

 

Parent/Guardian Information

Name (Parent/Guardian 1)required
First Name
Last Name

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


 

Name (Parent/Guardian 2)
First Name
Last Name

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


 

Emergency Contacts

Name (Emergency Contact 1)
First Name
Last Name
Name (Emergency Contact 2)
First Name
Last Name

 

Siblings Attending Piedmont Schools

Name (Sibling 1)
First Name
Last Name
School Site
Name (Sibling 2)
First Name
Last Name
School Site
Name (Sibling 3)
First Name
Last Name
School Site

 

Medical Conditions

(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


 

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

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. Indian Education Form* (if applicable)

 

Attach up to 1 file at a time. File size may not exceed 10MB
No file chosen
Attach up to 1 file at a time. File size may not exceed 10MB
No file chosen
Attach up to 1 file at a time. File size may not exceed 10MB
No file chosen
Attach up to 1 file at a time. File size may not exceed 10MB
No file chosen
Attach up to 1 file at a time. File size may not exceed 10MB
No file chosen
Utility bills must be current and from two different entities (Ex. one water bill/one electric bill)
Attach up to 1 file at a time. File size may not exceed 10MB
No file chosen
Utility bills must be current and from two different entities (Ex. one water bill/one electric bill)
Attach up to 1 file at a time. File size may not exceed 10MB
No file chosen
Attach up to 1 file at a time. File size may not exceed 10MB
No file chosen
Attach up to 1 file at a time. File size may not exceed 10MB
No file chosen
*This form is only required if applicable.

 

By typing your name into the box below you attest that you are the person authenticated into this application, and the data you are entering/verifying is accurate and true to the best of your knowledge. Your typed name authorizes Piedmont Public Schools to use the information provided in this enrollment form to begin the the enrollment process for your student.

Name of Legal Guardian/Decision Makerrequired
First Name
Last Name

Required Custody Form

Request for Records (if applicable)

If your student has attended another school district, please complete and submit the following form.