Dr. Curtis Cain
Superintendent of Schools
Recipient of the “Distinction In Performance” Award
Melody Marcantonio
Assistant Superintendent
“Every year since 2006”
Administrative Services
Please complete one form per school.
Date:
Dr. Melody Marcantonio
Wentzville School District
One Campus Drive
Wentzville, MO 63385
Dear Dr. Marcantonio:
Attached is a copy of the sales contract that confirms our closing date for the home we are building or
purchasing within the Wentzville School District. Also, attached is a letter from the builder and/or closing
document stating a firm move-in date. We are requesting your approval so that we may register the
following student(s) for the 2014-2015 school year in the following Wentzville School:
Student:
Grade:
Student:
Grade:
Student:
Grade:
We will be transporting the student(s) to and from school until we have occupancy of our home on
(date)
. Within one week of closing on this property, we will provide you with final proof
of residency on (date)
.
Please Print:
Parent Name:
Phone:
Current Address:
New Address:
Thank you for your consideration.
Sincerely,
Parent Printed Name:
Parent Signature:
Do Not Enroll And/Or Put In SIS Until Approved By Dr. Melody
(FOR OFFICE USE ONLY)
Marcantonio.
Asst. Superintendent Signature:
Approved / Denied (circle one)
Date:
Cc: Student File
Reviewed 4/1/2014
Wentzville R-IV School District - Administrative Offices
One Campus Drive • Wentzville, MO 63385 • (636)-327-3800 ext. 20331 • FAX: (636)-327-8611
melodymarcantonio@wentzville.k12.mo.us