Clinton Public School District



Clinton Public School District

Clinton Junior High School

Items needed to meet registration requirements:

1. MS Drivers License showing in district address.

2. Two proofs of residency:

a. Mortgage Document/Property Deed –or-

b. Rental Lease with Parent and Student name listed.

c. Gas, Water, or Electric bill with parents name listed within the last three months. Cable and telephone bills are not accepted.

3. Birth Certificate (long form)

4. Custody Documents (if necessary)

5. Report Card

a. Final grades or withdrawal forms from the previous school.

6. Child’s Original Social Security Card

7. Immunization Record.

All 7th grade students in the state of Mississippi are required to have the TDAP booster to begin the school year.

All immunization records need to be on a MS Dept. of Health Form 121. Records can be transferred to the form at the Health Dept. located on 350 W. Woodrow Wilson, Suite 411, Jackson, MS. You may contact them @ 601-432-3070

IT IS THE RESPONSIBILITY OF THE PARENT OR GUARDIAN TO OBTAIN ALL OF THESE ITEMS BEFORE A STUDENT CAN ENROLL.

AFFIDAVIT REQUIREMENTS

1. Two proofs of residency with whom parent/guardian is living must first be provided:

a. Mortgage Documents of Property Deed

-OR-

Filed Homestead Application Form

-OR-

b. Apartment or Home lease listing parent and student.

-AND-

c. Water, Electric or Gas bill with current address listed. No other utilities accepted.

2. Two proofs of parent/guardian identification must be provided:

a. Car Tag registration showing above address

b. Utility bill in parent/guardian name at the above address

c. Current driver’s license at above address

3. Must complete the Affidavit of Residency Form

a. Must be notarized (cannot be done by school employees)

b. Current Address

c. Current Telephone Number

d. Place of Employment

e. Previous Address

f. Previous Telephone Number

*Every affidavit situation is subject to a personal visit by a designated school district official at any time during the school year.

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