STUDENT REGISTRATION FORM – CAPE ELIZABETH SCHOOL SYSTEM
Today's Date: _____________________
Entrance Date: ____________________ Entering Grade: ________________
Student (Full Legal Name): ________________________________________________
_______________________
(Last)
(First)
(Middle)
Preferred Name
Street Address: _____________________________________
Gender:
_____ Male _____ Female
Home Phone: _____________________
Date of Birth: ________________ Place of Birth _____________________
Mother /Guardian Name: __________________________
Father /Guardian Name: _____________________________
Cell phone: _____________________________________
Cell phone:________________________________________
Address:
_____________________________________
Address: __________________________________________
Email:
_____________________________________
Email: __________________________________________
Brothers/Sisters Name(s): __________________________
Age: _______________ Grade: _______________
__________________________
Age: _______________ Grade: _______________
__________________________
Age: _______________ Grade: _______________
Previous School:
___________________________
Has child ever attended Cape Elizabeth Schools? _________
Street:
___________________________
If yes, when? _________________________________
City, State, Zip: _____________________________
Student lives with (check all that apply):
☐ Father
☐ Mother.
☐ Legal Guardian.
No:
Yes:
(If "yes', a copy of the
☐
☐
IS THIS CHILD THE SUBJECT OF ANY LEGAL DOCUMENTS CONCERNING CUSTODY?
custody papers must be provided to the school; without such documentary evidence, we cannot refuse to comply with requests from
natural parents.)
No: ☐Yes: ☐
ARE THERE COURT ORDERS REGARDING THE VISITATION OF OR CONTACT WITH THIS CHILD BY ANY PERSONS?
(If "yes", a copy of the order(s) must be provided to the school; without such documentary evidence, we cannot refuse to comply with
requests from natural parents.) Copy of the court degree attached, if appropriate: _________________