1

________________________________________ _____________________________ (Parent/Guardian Signature) (Date)

Christian County Public Schools

Student Enrollment Form

Entry Date:

__/__/___

Demographic Information

Student’s Legal Name _______________________________________________________________________________________ Last First Middle “Nickname”

Address: Street City State Zip

Home Phone: Student Cell Phone (if applicable):

Birthdate: _____/_______/______ Place of Birth (State):______ Place of Birth (Country): ________________ GRADE: ______

Month Day Year

Student Social Security # Sex: Male Female

Student Email Address (if applicable): __________________________________________

Race/Ethnicity:

Is this student from one or more of these races? (Please check all that may apply)

Hispanic/Latino

American Indian or Alaska Native

Asian

African American

Native Hawaiian or Other Pacific Islander

White Other____________________

Last School Attended (for transfer students only)

Name of School: ________________________________________________________ Grade: ______________

Physical Address:

City, State & Zip

Phone Number: _________________________________ Fax Number: ___________________________________

I give permission to request all records from this school. ____________________________________________________

(Parent Signature)

Have you been in a Christian County School before? Yes No Which school and when? ______________________

If not, have you been in a Kentucky school before? Yes No Which district and when? ______________________

Transportation Does this student ride a bus? Yes No If YES: Both ways Only TO school Only FROM school

If you know the Bus Number(s) please list here: A.M. _______________ P.M. _______________

If a car rider, who will pick the student up? ______________________________________________________

Military/Federally Connected

Is parent/guardian

Active duty military

Retired military

Current civilian employee (Example: Fort. Campbell)

Is this

student

military

connected?

Yes

No

Service member name:

Relationship to student:

Branch of Service:

Current

Battalion:

Current Company: Work/duty phone # (for

emergency contact)

Participation in Programs

Please check any special programs in which the student has participated:

Speech/Language Special Education *If yes, please specify disability ____________________________

504 Plan Gifted/Talented Migrant English Second Language Limited English Proficiency

Is child attending on Hardship? Yes No If yes, what is his/her zone school_________________________

FOR OFFICE USE ONLY:

Birth Certificate

Immigrant Status

Immunizations

Eye Exam

Physical

Dental Screen/Exam

Social Security Card

T-code ____________

Homeroom Teacher

_____________________

_

2

CHRISTIAN COUNTY BOARD OF EDUCATION

NON-DISCRIMINATION POLICY STATEMENT

As required by federal law, the District does not discriminate on the basis of race, color, or

national origin, sex, genetic information, disability or age in its programs and activities and

provides equal access to its facilities to the Boy Scouts and other designated youth groups.

Notice of the name, work address and telephone number of the Title IX Coordinator and the

Section 504 Coordinator for the district shall be provided to the employees, applicants for

employment, students, parents/guardians, and other beneficiaries such as participants in

activities offered to the public.

Christian County Public Schools Registration Process Survey

Please complete the following survey online about Christian County Public Schools registration process.

You will need a QR Reader app (free) on your phone or tablet to scan the code below:

3

Attendance Clerk Copy

SCHOOL USE ONLY Court Order on File: _____ Deny release to: _______________________________________ Homeroom _______________________ Bus Info AM __________ PM __________

EMERGENCY CONTACTS & CHECK-OUT CONSENT

Student Name: ______________________________________________________________ LAST FIRST MIDDLE

Parent/Guardian Emergency Contact Information:

Name _____________________________________________________________

Home _________________ Cell _________________ Work _________________

Name _____________________________________________________________

Home _________________ Cell _________________ Work _________________

Please do not list a non-custodial parent if the courts have denied visitation. The school must

have legal documentation on file to deny a student release to his/her parent.

If parents/guardians cannot be reached in the event of an emergency, the following may be

contacted. A person must be at least 18 years of age to check a student out. Students will not be

released to anyone not on this form.

Name Relationship Work/Home Phone Cell Phone

In addition to the emergency contacts, these individuals may check the student out of school:

Name Relationship Work/Home Phone Cell Phone

PLEASE INFORM ALL PEOPLE LISTED ABOVE PICTURE IDENTIFICATION MUST BE

PROVIDED BEFORE YOUR CHILD WILL BE RELEASED INTO THEIR CUSTODY.

Parent/Guardian Signature: __________________________________ Date: ______________

4

School Nurse Copy

Medical Information / Emergency Release

Student Name ___________________________________________________________ Grade ___________

Student Address ____________________________________________________ Phone ________________

City ________________________________________________________ State _______ Zip ____________

Emergency treatment may be administered if I am unable to be reached. Yes _______ No _______

Does your child have any of the following? (Please check yes or no.) *Health Flag Yes No Yes No Yes No

Allergies (Food/Medications) Epilepsy Seizures

Asthma Hearing Problems Sickle Cell

Vision Problems Heart Disease Skin Disorders

Bladder/Bowel Problems Hemophilia Ulcers

Diabetes Migraines Other

If any of the above were checked, please explain any side effects and/or how often this problem occurs, what

type of allergies, etc. _______________________________________________________________________________________________

_______________________________________________________________________________________________

_______________________________________________________________________________________________

PLEASE PRINT

Current medications the student is taking: ______________________________________________________

________________________________________________________________________________________

Local Physician’s Name ______________________________________ Phone No. _____________________

Is the student covered by Kentucky Medical Assistance? (Medical Card) Yes _____ No _____

Medical Card # ______________________________________

If your child takes medication that must be given at school, it is your responsibility to contact the school nurse to obtain

proper forms. No medication will be given if the proper paperwork is not completed. I give permission for my child to

be screened by school personnel for vision, dental, hearing, speech, scoliosis, contagions, and parasites. I also give my

consent for my child to receive services from the District’s nursing staff and to bill Medicaid when appropriate. I have

been provided an opportunity to read and review the HIPAA/FERPA confidentiality regulations located on the back of

this form. In accordance with Kentucky state law, every student must have a current immunization certificate to be

legally enrolled in school. I have read and understand the above information. Any changes in my child’s health

condition will be reported immediately to the school health team.

In case of accident or serious illness, I request the school to contact me. If the school is unable to reach me, I hereby

authorize the school to contact the physician indicated above and to follow his/her instructions. If the physician cannot

be reached, the school may make whatever arrangements are necessary.

Parent/Guardian Name: ________________________________________ PRINT NAME

Parent/Guardian Signature ________________________________________ Date ____________________

Emergency/Daytime Phone Number _________________________________

5

Confidentiality of Student Health Records

The Family Educational Rights and Privacy Act (FERPA) is the federal

law that protects the privacy interest and educational records of the

student. FERPA applies to any education agency or institution that

receives funds from the U.S. Department of Education. FERPA governs

all student health records maintained by school employees (including

contracted employees) who provide “school health services”. Health

services are services provided to the student to support their participation

and progress in school. Disclosure to appropriate officials is valid if the

information in the education record is necessary to protect the health or

safety of the student or other individuals. The educational institution or

agency that employs a school nurse is subject to the Health Insurance

Portability and Accountability (HIPAA) regulation if the school nurse or

the school engages in a HIPAA transaction, such as transmitting

electronic billing or submitting claims.

6

School Safety Information

KRS 158.155 requires that a parent or guardian of a child who has been adjudicated guilty or previously expelled for

homicide, assault, or violation of state law or school regulations relating to weapons, alcohol or drugs, notify a new

school of that fact by a sworn statement given to the school at the time of registration. In compliance with this

requirement, please check any of the following that apply to this student:

adjudicated guilty

expelled from school (If applicable, please list the name of the school: _____________________________)

disciplined for a violation of state law or school regulation relating to weapons, alcohol, or drugs

The facts are as follows: ____________________________________________________________________

Parent/Guardian Media Release Authorizations

Student Name: _________________________________________________________________________________ (Last Name) (First Name) (Middle)

Please check all that apply.

Media Release

I give my permission to have my child interviewed/photographed/videotaped by the news media which

may result in print, video, or web publication.

I give my permission to have my child interviewed/photographed/videotaped by the school or district

which may result in print, video, or web publication.

I give my permission to have the school or district feature my child’s academic achievements to the

media. This includes, but is not limited to, principal’s list, honor roll and scholarship awards.

If you have more than one student you

are registering in Christian County, is

this the first school you have visited for

registration?

YES

NO

Proceed to

pages 7-10 to

register

household

information.

Skip to page

11 to view the

Technology

Acceptable

Use Policy

Please list the name of the school where the

household information was submitted:

________________________________________

Parent Initials ____________

7

Christian County Schools

Household Enrollment Form

Entry Date:

__/__/___

The Household Enrollment Form will be filled out at only the first school enrollment site.

Students in Same Household Attending School (Ages 3 and Above)

1st Student’s LEGAL Name: FIRST MIDDLE LAST

Social Security # Student Nickname ___________________________

Date of Birth Grade School

2nd Student’s LEGAL Name: FIRST MIDDLE LAST

Social Security # Student Nickname ___________________________

Date of Birth Grade School

3rd Student’s LEGAL Name: FIRST MIDDLE LAST

Social Security # Student Nickname ___________________________

Date of Birth Grade School

4th Student’s LEGAL Name: FIRST MIDDLE LAST

Social Security # Student Nickname ___________________________

Date of Birth Grade School

5th Student’s LEGAL Name: FIRST MIDDLE LAST

Social Security # Student Nickname ___________________________

Date of Birth Grade School

8

Christian County Schools

Household Enrollment Form Continued

Please continue to page 9 if this page is not needed.

Students in Same Household Attending School (Ages 3 and Above)

6th Student’s LEGAL Name: FIRST MIDDLE LAST

Social Security # Student Nickname ___________________________

Date of Birth Grade School

7th Student’s LEGAL Name: FIRST MIDDLE LAST

Social Security # Student Nickname ___________________________

Date of Birth Grade School

8th Student’s LEGAL Name: FIRST MIDDLE LAST

Social Security # Student Nickname ___________________________

Date of Birth Grade School

9th Student’s LEGAL Name: FIRST MIDDLE LAST

Social Security # Student Nickname ___________________________

Date of Birth Grade School

10th Student’s LEGAL Name: FIRST MIDDLE LAST

Social Security # Student Nickname ___________________________

Date of Birth Grade School

9

Primary Household (This is the address where the student(s) actually reside.) Physical Address STREET APT/LOT

CITY STATE ZIP

Mailing Address (if different) P.O. BOX (OR OTHER MAILING ADDRESS)

CITY STATE ZIP

(Check if Unlisted) Home Phone

Parent or Guardian 1 (This is the primary parent/guardian for the student(s) listed on previous page.)

Name FIRST MIDDLE LAST

Date of Birth Last four digits of Social Security # XXX-XX-______________

Employer Work Phone

Email Address Cell Phone

Parent (Mother/Father) Legal Guardian (by court) Stepparent Foster Parent Other (specify)

Parent or Guardian 2 (This is either the second parent/guardian or a step-parent living in the household.)

Name FIRST MIDDLE LAST

Date of Birth Last four digits of Social Security # XXX-XX-______________

Employer Work Phone

Email Address Cell Phone

Parent (Mother/Father) Legal Guardian (by court) Stepparent Foster Parent Other (specify)

Secondary Household (This section should be completed if both parents do not live in the Primary Household.) Physical Address STREET APT/LOT

CITY STATE ZIP

Mailing Address (if different) P.O. BOX (OR OTHER MAILING ADDRESS)

CITY STATE ZIP

(Check if Unlisted) Home Phone

Parent or Guardian 3 (This will generally be a parent who does NOT live in the Primary Household with the student.)

Name FIRST MIDDLE LAST

Date of Birth Last four digits of Social Security # XXX-XX-____________

Employer Work Phone

Email Address Cell Phone

Parent (Mother/Father) Legal Guardian (by court) Stepparent Foster Parent Other (specify)

Parent or Guardian 4 (This will generally be the individual living with a parent in a Secondary Household.)

Name FIRST MIDDLE LAST

Date of Birth Last four digits of Social Security # XXX-XX-___________

Employer Work Phone

Email Address Cell Phone

Parent (Mother/Father) Legal Guardian (by court) Stepparent Foster Parent Other (specify)

10

School: ________________________________ Family Resource Copy

McKinney-Vento RESIDENTIAL SURVEY

Completion Required/Mandatory ************************************************************************************************** Please complete the following form to see if your child qualifies for Project SHOW, a student service program in the Christian

County Public School. If the student meets one or more of the following housing requirements (due to loss of housing,

economic hardship, or a similar reason) they may be eligible for this program:

Do you live in: Please circle YES or NO

1. Emergency runaway shelter Yes No

2. Motel/Hotel (not vacation) Yes No

3. Public/Private nighttime shelter (Salvation Army) Yes No

4. Special Care Facility Yes No

5. Spouse Abuse Center (Sanctuary House) Yes No

6. Uninhabitable Places (car, bus, old building, etc.) Yes No

7. Friends or Relatives home Yes No

If yes to # 7: With whom are you living?

Relationship of person you are living with?

8. Temporary placed in Foster Care Yes No

9. Unaccompanied Youth - not in custody of parent Yes No

IF YOU ANSWERED YES TO ANY OF THE ABOVE, PLEASE COMPLETE THE SECTION BELOW, IF ALL

NO’S THEN PROCEED TO BOTTOM SIGNATURE LINE (REQUIRED):

How many FAMILIES are living in your place of residence? _________________

REQUIRED INFORMATION:

Name of parent(s) or guardian(s):__________________________________________________________________________

Address______________________________________________________________________________________________

Phone Number (s): Home:_______________________Work:______________________Cell:________________________

Please note: We must have a phone contact number to reach you.

Please complete the following on ALL children living in the HOME:

Name of Student(s) living in the home: Student’s Date

of Birth:

Name of School Attending,

if not attending school N/A

Grade

Level

Please sign below and return this form to the Family Resource Youth Service Center at your child’s school.

_____________________________________________ ______________________________

Parent or Guardian Signature (REQUIRED) Date

THIS INFORMATION WILL BE KEPT CONFIDENTIAL

Project SHOW, August 2015

FOR FAMILY RESOURCE (FRYSC) USE ONLY

Copy sent to: Liaison Elementary School Middle School High School

Notified: Director of Food Services Infinite Campus marked Needs Assessment Completed

Other: ____________________________

11

School Technology Assistant (STA’s) Copy

Technology Acceptable Use Policy

Parent and Student Permission Letter

Christian County Public Schools

We are pleased to offer students of the Christian County Schools access to the district computer network and technology resources. To gain access

to any technology resources, students must obtain parental or legal guardian permission, which must be signed and returned to the school.

Access to technology resources, e-mail, and the Internet will enable students to explore thousands of libraries, databases, and bulletin boards

while exchanging messages with Internet users throughout the world. Families should be warned that some material accessible via the Internet

might contain items that are illegal, defamatory, inaccurate or potentially offensive to some people. While our intent is to make Internet access

available to further educational goals and objectives, students may find ways to access other materials as well. We believe that the benefits to

students from access to the Internet, in the form of information resources and opportunities for collaboration, exceed any disadvantages. But

ultimately, parents and guardians of minors are responsible for setting and conveying the standards that their children should follow when

using media and information sources. To that end, the Christian County Public Schools support and respect each family’s right to decide

whether or not to apply for access.

District Network Rules

Students are responsible for good behavior on school computer networks just as they are in a classroom or a school hallway. Communications on

the network are often public in nature. General school rules for behavior and communications apply.

The network is provided for students to conduct research and communicate with others. Access to network services is given to students who agree

to act in a considerate and responsible manner. Access is a privilege--not a right. Access entails responsibility.

Individual users of the district computer networks are responsible for their behavior and communications over those networks. It is presumed

that users will comply with district standards and will honor the agreements they have signed. Beyond the clarification of such standards, the

district is not responsible for restricting, monitoring, or controlling the communications of individuals utilizing the network.

Network storage areas may be treated like school lockers. Network administrators may review files and communications to maintain system

integrity and insure that users are using the system responsibly. Users should not expect that files stored on district servers, school servers, and

or workstations will always be private.

Within reason, freedom of speech and access to information will be honored. During school, classroom teachers will guide them toward appropriate

materials. Outside of school, families bear the same responsibility for such guidance as they exercise with information sources such as television,

telephones, movies, radio and other potentially offensive media.

As outlined in board policies and procedures on Curriculum and Instruction and Telecommunication Devices ( 08.2323 & 09.4261/copies of which

are available in school offices), students will NOT:

Attempt to damage/alter/remove hardware/software/network files/computer systems or networks;

Attempt to access another’s folders, work, or files;

Attempt to gain unauthorized access to technology resources or waste technology resources;

Copy/distribute software owned/licensed to any facility of the Christian County Board of Education;

Attempt to transmit or receive materials in violation of federal or state laws or regulations pertaining to copyrighted, threatening or

obscene language or materials, including sexually explicit materials;

Attempt to violate confidentiality or privacy of another individual(This includes, but is not limited to, taking photographs, video, or audio

recordings of others without the permission of the Principal/designee and the affected individual(s);

Attempt to use CCBOE network for personal or commercial activities, product promotion, political lobbying, or illegal activities;

Attempt to use unauthorized games, interactive messaging, or internet-based email accounts;

Attempt to use unauthorized software products or Internet resources, which affect computer/network performance.

Attempt to use any "hacking tools" that can be used for "computer hacking", as defined in the Kentucky Computer Crime Law, may not be

possessed on school property, on any District premise, or run or loaded on any District system.

Remove Assets Tags or name plates from technology equipment.

VIOLATIONS MAY RESULT IN A LOSS OF ACCESS AS WELL AS OTHER DISCIPLINARY AND/OR LEGAL ACTION:

12

Electronic Access/User Agreement Form

As a user of the Christian County School District’s computer network, I hereby agree to comply with the District’s Internet and

electronic mail rules and to communicate over the network in a responsible manner while abiding by all relevant laws and

restrictions. I further understand that violation of the regulations is unethical and may constitute a criminal offense. Should I

commit any violation, my access privileges may be revoked and school disciplinary action and/or legal action may be taken.

User’s Name (Please print)

User’s Signature Date

PRIOR TO THE STUDENT’S BEING GRANTED INDEPENDENT ACCESS PRIVILEGES, THE

FOLLOWING SECTION MUST BE COMPLETED FOR STUDENTS UNDER 18 YEARS OF AGE:

NOTE: FEDERAL LAW REQUIRES THE DISTRICT TO MONITOR ONLINE ACTIVITIES OF MINORS.

CHRISTIAN COUNTY PUBLIC SCHOOLS ARE EDUCATING MINORS ABOUT APPROPRIATE ONLINE BEHAVIOR, INCLUDING

INTERACTING WITH OTHER INDIVIDUALS ON SOCIAL NETWORKING WEBSITES AND IN CHAT ROOMS AND CYBERBULLYING

AWARENESS AND RESPONSE.

As the parent or legal guardian of the student (under 18) signing above, I grant permission for my child to access networked computer services such as electronic mail and the Internet. I understand that this access is designed for educational purposes; however, I also

recognize that some materials on the Internet may be objectionable, and I accept responsibility for guidance of Internet use by setting

and conveying standards for my child to follow when selecting, sharing, researching, or exploring electronic information and media.

Consent for Use

By signing this form, you hereby accept and agree that your child’s rights to use the electronic resources provided by the District

and/or the Kentucky Department of Education (KDE) are subject to the terms and conditions set forth in District policy/procedure.

Please also be advised that data stored in relation to such services is managed by the District pursuant to policy 08.2323 and

accompanying procedures. You also understand that the e-mail address provided to your child can also be used to access other

electronic services or technologies that may or may not be sponsored by the District, which provide features such as online storage,

online communications and collaborations, and instant messaging. Use of those services is subject to either standard consumer terms

of use or a standard consent model. Data stored in those systems, where applicable, may be managed pursuant to the agreement

between KDE and designated service providers or between the end user and the service provider. Before your child can use online

services, he/she must accept the service agreement and, in certain cases, obtain your consent.

Name of Parent/Guardian (Please print)

Signature of Parent/Guardian Date

Daytime Phone Number: Evening Phone Number:______________

User’s Name

Last Name First Name

User’s Address

_

City

Date of Birth

_

Middle Initial

_ State Zip Code

User’s Age

If applicable, User’s Grade

Sex Phone Number School

Homeroom/Classroom

Parent/Guardian Requests NO EMAIL ACCESS for STUDENT: (CHECK ONLY IF NO EMAIL IS

REQUESTED)

Student Name___________________________ Parent Signature__________________________________

13

Christian County Public Schools

HOME LANGUAGE SURVEY Student Name: ____________________________________________ Birth Date: ___________________ Sex: ❏ Male ❏ Female

Parent/Guardian Name: ________________________________________________________________________________________ Address: ____________________________________________________________________________________________________ Home Telephone: __________________________________________ Work Telephone: ____________________________________ School: __________________________________________________ Grade: ______________________ Date: ________________

1. Was your child born in the United States? ❏ Yes ❏ No

If yes, in which state? ___________________________________

If no, in what other country? ___________________________________

2. Has your child attended any school in the United States

for any three years during their lifetime? ❏ Yes ❏ No

If yes, please provide school name(s), state, and dates attended:

Name of School ____________________________________________ State ________ Dates Attended ________________

Name of School ____________________________________________ State ________ Dates Attended ________________

Name of School ____________________________________________ State ________ Dates Attended ________________

3. What language is spoken by you and your family most of the time at home? ___________________________________

4. If available, in what language would you prefer to receive communication from the school? ___________________________________

5. Please check if your child is:

A. ❏ Native American Indian C. ❏ Native Pacific Islander

B. ❏ Alaska Native D. ❏ Native U.S. Virgin Islander

6. Is your child’s first-learned or home language anything other than English? ❏ Yes ❏ No

If you responded “Yes” to question number 6 above, please answer the following questions:

7. What language did your child learn when he/she first began to talk? ___________________________________

8. What language does your child most frequently speak at home? ___________________________________

9. What language do you most frequently speak to your child? (Father) ___________________________________

(Mother) ___________________________________

10. Please describe the language understood by your child. (Check only one)

A. ❏ Understands only the home language and no English.

B. ❏ Understands mostly the home language and some English.

C. ❏ Understands the home language and English equally.

D. ❏ Understands mostly English and some of the home language.

E. ❏ Understands only English.

______________________________________________ ___________________________________ Parent or Guardian's Signature Date

Office Use Only

Student ID # Date Distributed Date Received

00NCLB-B1a (Rev. 05/08 US) © 2008 TransACT Communications, Inc.

381476

14

Christian County Public Schools

Parent Portal Request

SECTION ONE

Parent/Legal Guardian Name: ________________________________ Phone: ___________________

Home address: ____________________________________________ Date: ____________________

*In order to be provided a parent portal account, you must be a legal guardian of the student(s)

If legal guardian has been verified, the school may proceed to Section Two.

SECTION TWO - SCHOOL 1. School will provide a ‘Person Summary Report’ or ‘Demographics Page’ from Infinite Campus

2. School will highlight the GUID number (This is a 32 character activation key).

3. Provide a computer with Internet access to complete Section Three.

4. School ensures parent has been given access to the student’s portal account in Infinite Campus.

School retains this section and uses it to input information into Infinite Campus.

------------------------------------------------------------------------------------------

----- Parent retains Section Three

SECTION THREE – PARENT Please follow these steps:

1. Visit: www.christian.kyschools.us. Under the “Parents and Students” heading, click “Infinite Campus Student/Parent

Login” for access.

2. Select the “HELP” icon and click “If You Have Been Assigned a Campus Portal Activation Key, Click Here.” (This is

the 32 character activation key highlighted on the form).

3. The “Click Here” link will display an activation screen. Enter the 32 character activation key provided.

4. Click the “Submit” button. The activation key will be verified. When approved, a screen will be displayed to create

the username and password.

5. Enter a user name. It must be 8 characters and one character must be a number. It is case sensitive.

6. Enter a password. It must be 8 characters and one character must be a number. It is case sensitive.

7. Enter the password a second time in the “Verify Password” field.

8. Click the “Create Account” button. This will create the user name and password. Upon approval, the portal account

will be created. Use the “Click Here” link on the account creation page to enter the username and password to access

the portal information.

9. After the activation key has been used to create a parent portal account, it will no longer be valid. Users will need to

log into the Parent Portal using their unique username and password.

10. Store your username and password in a secure and private location.

15

CHRISTIAN COUNTY PUBLIC SCHOOLS

Parent/Guardian Checklist & Signature Page

SIGNATURE:

I verify the information supplied is correct and current.

I will inform the school of any changes in this information.

I authorize any school personnel to take reasonable emergency measures on behalf of my child and

agree to hold them harmless for any treatment rendered.

I have authorized appropriate permission on page 6.

Parent/Guardian Signature ___________________________________ Date: ____________________

ENROLLMENT CHECKLIST:

Student Registration form is complete (pages 1-6).

Household Registration form has been completed either at this school or at another school

(this section is completed once at the first enrollment site for the entire household on pages 7-10).

I have completed the Records Transfer (page 1 under Last School Attended Section) to allow the

new school may request educational records for my child (if applicable).

I have completed an Electronic Access/User Agreement form (page 12).

have completed the Household and Income form.

have completed the Infinite Campus Parent Portal Request form.

For initial entry into Christian County Public Schools (first time enrollees only):

I have supplied a Certified Birth Certificate.

I have supplied (for photocopy) the student’s Social Security Card.

I have supplied a Kentucky Eye Exam by an ophthalmologist or optometrist

(For initial entry into a Kentucky School ages 3-6).

I have supplied the dental screening or examination form

(For initial entry into a Kentucky School ages 5-6).

I have supplied a current Kentucky Immunization Certificate.

I have supplied a copy of a recent Preventative Health Care Examination form.

I have completed a Home Language Survey form (For initial entry only).

I have completed an Employment/Agricultural Survey form (For initial entry only).