Preschool Registration Form Page 2

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(Domicile/Permanent Residence): Complete this section if the student is living with a parent/guardian whose
permanent home is the address given on the front of this form and is located in the district.
How long have you lived in this home?
Do you have any present intention of moving from this home?
No
Yes
If yes, when and to where?
Do you have residence elsewhere?
No
Yes
If yes, where are they and when do you live there?
Documentation of Residency
All parents/guardians must provide copies of current documents as proof of residence in the Wanaque Borough.
Documents are required to clearly indicate the names and addresses provided for registration of all students.
Individuals must provide one (1) document from Category A and three (3) documents from Category B.
Category A
Category B – Three (3) documents
q Contract of Sale
q Bank Statement
q Electric Bill
(blocked
q Mortgage document of payment
out figures)
q Financial account
q Cable Bill
book
information
q Credit Card Statement
q Property tax bill
q Gas Bill
q Telephone/Cell bill
q Recorded deed
q Insurance Bill
q Vehicle Registration
q Signed lease
q Paycheck Stub
q Voter registration
q Water/Sewer Bill
q Driver License
Only fill in the information below, if the student’s parents are domiciled (permanent residents) in different
districts, regardless of which parent has custody.
Is there a court order or written agreement between the parents designating the district for the school attendance, and
if so, where does it require the student to attend school?
(Provide a copy of this document.)
Does the student reside with one parent for the entire year? If so, with which parent and at what address?
Parent:
Address:
If not, for what portion of time does the student reside with each parent and at what addresses?
**
If the following applies to you, these additional forms can be attained in the Main Office of each school.
1. Affidavit Form B1 and B2 -If your child is living with a Wanaque resident other than the parent or guardian
and NOT being supported by the parent / guardian.
2. Affidavit Form A1-There is not deed or written lease.
3. Affidavit Form C1-If a Wanaque resident is housing an out of district family.
4. Section D- for Special circumstances not listed above.
For Guardians Only
Guardians must provide proof of legal guardian ship by providing a copy of the Court orders, State agency agreements, or other
evidence of court or agency placements or directives.
OR
Affidavits, certifications and sworn attestations pertaining to statutory criteria for school attendance, from the parent, legal
guardian, person keeping an “affidavit student,” person(s) with whom a family is living , or others as appropriate.
__________________________________________
_______________________________
Parent / Guardian Signature
Date
2015

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