WILSON K-8 SCHOOL

WILSON K-8 SCHOOL

Acknowledgement / Registration Checklist

IMPORTANT: To effectively maintain accurate contact information (i.e. address, phone numbers) for Returning students, please review current information on file in Parent Portal under "Personal Details" and indicate below if changes are necessary for this year. Please attach ONE Proof of Residency (i.e. utility bill, lease) to the Residency Form EVERY YEAR when submitting the registration packet.

RETURNING STUDENTS - Check YES/indicate change or NO change

Yes changes to: address

phone #

email

contacts

No changes to information

Student Name: _________________________ Current Grade: ____ || Next Year's Grade: ____ Parent Signature (required): ________________________________ Date: ________________

Check below items provided to registrar

REGISTRATION PACKET CHECKLIST

FORMS and DOCUMENTS Required for Registration

YES RETURNING STUDENT Packet

Submit the forms below

YES NEW STUDENT Packet

Submit the documents / forms below

Forms Acknowledgement/Registration Checklist Student Registration Residency Form Proof of Residency document (Mandatory) attach ONE of the following examples:

utility bill, tax, deed, pay stub, insurance, bank statement, purchase agreement, mortgage, lease or rental agreement

Elective Selection Form (not included-revising) Primary Home Language Survey Sex Ed Form (5-8 only) Cell Phone Agreement (5-8 only)

PTO Form-Communication

McKinney-Vento Questionnaire Locker/ID Agreement

Documents Birth Certificate Immunization Records (*see Nurse) Withdrawal Form (prior school) Report card/Grades Proof of Residency document (Mandatory) attach ONE of the following examples:

utility bill, tax, deed, pay stub, insurance, bank statement, purchase agreement, mortgage, lease or rental agreement

Forms Acknowledgement/Registration Checklist Student Registration Residency Form Elective Selection Form (not included-revising) Primary Home Language Survey Sex Ed Form (5-8 only) Cell Phone Agreement (5-8 only)

PTO Form-Communication

McKinney ?Vento Questionnaire Student Records Request Locker/ID Agreement

Revised 02/2018

Amphitheater Unified School District does not discriminate on the basis of race, color, religion/religious beliefs, gender, sex, age, national origin, sexual orientation, creed, citizenship status, marital status, political beliefs/affiliation, disability, home language, family, social or cultural background in its programs or activities and provides equal access to the Boy Scouts and other designated youth groups. Inquiries regarding the District's non-discrimination policies are handled at 701 W. Wetmore Road, Tucson, Arizona 85705 by Anna Maiden, Equal Opportunity & Compliance Director, (520) 696-5164, amaiden@, or Kristin McGraw, Executive Director of Student Services, (520) 696-5230, kmcgraw@.

Amphitheater Public Schools - Student Registration Form

School

School Year

Entering Grade Level for Given School Year

STUDENT INFORMATION (Please PRINT student name exactly as it appears on the birth certificate)

Legal Last Name

Legal First Name

Full Middle Name

Generation

(Jr. III, IV, etc.)

Gender

M F

Ethnicity:

Hispanic

Non-Hispanic

Date of Birth (mm/dd/yyyy)

Race:

(Check all that apply)

Black / African American

White

Native Hawaiian / Pacific Islander

Asian

American Indian / Alaskan Native Tribal Affiliation and Number ____________________________

Country of Birth

State of Birth (US only)

Place of Birth (City)

Residential Address:

Apt.#

City

ST

Zip

Preferred Mailing Address (if different):

Apt.#

City

ST

Zip

For High Student School Email

@

( Student

Phone

)

-

Language (Responses to these statements will be used to determine whether the student will be assessed for English Language Proficiency)

What is the primary language used in the home regardless of the language spoken by the student?

English

Spanish

Other__________________________

What is the language most often spoken by the student?

English

Spanish

Other__________________________

What is the language that the student first acquired?

English

Spanish

Other__________________________

Parent/Guardian preferred correspondence language?

English

Spanish

Other__________________________

Enrollment History

Has this student ever attended school in Arizona before?

Yes

No

Has this student ever attended an Amphitheater school any time in the past?

Yes

No

Last school attended:_________________________________________

Public Charter Private Homeschool

Year

Grade Level

District

City

State

Special Programs, Accommodations or Services (Check all that apply past or present and provide paperwork.)

Special Education 504 Speech English Language Development Gifted/Accelerated Chronic Illness Other______

Comments:

Other Information (Check all that apply)

Active Military Dependent Foster DCS Refugee Status McKinney-Vento/Homeless Open Enrollment

Other Children/Siblings Under 18 Living at this Address

Name (Last Name, First Name)

Date of Birth

School

Grade

Transportation (Students must meet eligibility guidelines as listed in Board Policy. Please see Amphitheater website.)

If riding bus, student will ride:

To AND From School

To School Only

From School Only

Other modes of transportation: Walk

Bike

Parent Drop Off / Pick Up

Day Care:_________________________________

Office Use AM Bus#_______ Stop_________

Only

PM Bus#_______ Stop_________

Student ID: ______________________ Entry Code:____________ Data Entry Date:___________ Initials of Person Entering Data:__________

Revised 1/17/18

Student Name:______________________________ Grade:______

Parent/Guardian Contact #1 (Only contact #1 is the PRIMARY contact and will be contacted first)

Mother Father Foster Mother Foster Father Step-Mother Step-Father Guardian Other_________________

Last Name

First Name

Employer

Cell Phone (

Address same as the student

Email:

)

-

Home Phone (

Address if different than student:

@

)

Apt.#

-

City

Work Phone (

ST

Contact #1 Spoken Language

)

-

Zip

Agrees to be contacted electronically for education items. (Teacher emails, progress reports, etc.)

Check all that apply:

Can pick up student Receives Report Card

Lives with student Can have Parent Portal Access

Is an Emergency Contact

Parent/Guardian Contact #2

Mother Father Foster Mother Foster Father Step-Mother Step-Father Guardian Other_________________

Last Name

First Name

Employer

Cell Phone (

Address same as the student

Email:

)

-

Home Phone (

Address if different than student:

@

)

Apt.#

-

City

Work Phone (

ST

Contact #2 Spoken Language

)

-

Zip

Agrees to be contacted electronically for education items. (Teacher emails, progress reports, etc.)

Check all that apply:

Can pick up student Receives Report Card

Lives with student Can have Parent Portal Access

Is an Emergency Contact

Who has legal custody of the child?

Contact #1 Contact #2 (Check both if applicable.)

Is there a joint custody or parenting plan in effect?

Yes No (If yes, plan must be on file with the school.)

Is this student in care of a guardian?

Yes No

(If yes, legal guardianship records must be on file with the school.)

Is there a restraining order in effect? Yes No Against: Mother Father Other (Papers must be on file with school.)

Additional Information:

Additional Contact #3

Mother Father Foster Mother

Last Name

Foster Father First Name

Step-Mother

Step-Father Guardian Other_________________ #3 Spoken Language

Cell Phone (

)

-

Home Phone (

)

-

Work Phone (

)

-

Check all that apply:

Can pick up student

Lives with student

Is an Emergency Contact

Additional Contact #4

Mother Father Foster Mother

Last Name

Foster Father First Name

Step-Mother

Step-Father Guardian Other_________________ #4 Spoken Language

Cell Phone (

)

Check all that apply:

-

Home Phone (

Can pick up student

)

-

Lives with student

Work Phone (

)

-

Is an Emergency Contact

I VERIFY ALL OF THE INFORMATION ON THIS FORM IS ACCURATE

Enrolling Parent/Guardian Printed Name

Enrolling Parent/Guardian Signature

Date

Amphitheater Unified School District does not discriminate on the basis of race, color, religion/religious beliefs, gender, sex, age, national origin, sexual orientation, creed, citizenship status, marital status, political beliefs/affiliation, disability, home language, family, social or cultural background in its programs or activities and provides equal access to the Boy Scouts and other designated youth groups. Inquiries regarding the District's non-discrimination policies are handled at 701 W. Wetmore Road, Tucson, Arizona 85705 by Anna Maiden, Equal Opportunity & Compliance Director, (520) 696-5164, amaiden@, or Kristin McGraw, Executive Director of Student Services, (520)696-5230,kmcgraw@

WILSON K-8 PROOF OF RESIDENCY FORM Amphitheater Unified School District

Name Parent/Legal Guardian

Wilson K-8

As a Parent/Legal Guardian of the Student, I attest that I am a resident of the State of Arizona and submit in support of this attestation a copy of the following document that displays my name and residential address or physical description of the property where the student resides:

Real Estate deed or mortgage documents signed by all parties

Current Gas, electric or water bill.

Residential lease or rental agreement signed by all parties

Property tax bill

Certificate of tribal enrollment or other identification issued by a recognized Indian tribe that contains an Arizona address

Documentation from a state, tribal or federal government agency (Social Security Administration, Veteran's Administration, Arizona Department of Economic Security)

I am currently unable to provide any of the foregoing documents. Therefore, I have provided an original affidavit signed and notarized by an Arizona resident who attests that I have established residence in Arizona with the person signing the affidavit.

_

Signature of Parent/Legal Guardian

Date

Amphitheater Unified School District does not discriminate on the basis of race, color, religion/religious beliefs, gender, sex, age, national origin, sexual orientation, creed, citizenship status, marital status, political beliefs/ affiliation, disability, home language, family, social or cultural background in its programs or activities and provides equal access to the Boy Scouts and other designated youth groups. Inquiries regarding the District's nondiscrimination policies are handled at 701 W. Wetmore Road, Tucson, Arizona 85705 by Anna Maiden, Equal Opportunity & Compliance Director, (520) 696-5164, amaiden@, or Kristin McGraw, Executive Director of Student Services, (520) 696-5230, kmcgraw@

State of Arizona

Department of Education Office of English Language Acquisition Services

Primary Home Language Other Than English (PHLOTE) Home Language Survey

(Effective April 4, 2011)

These questions are in compliance with Arizona Administrative Code, R7-2-306(B)(1), (2)(a-c).

Responses to these statements will be used to determine whether the student will be assessed for English Language Proficiency.

1. What is the primary language used in the home regardless of the language spoken by the student? _____________________________________________________________

2. What is the language most often spoken by the student? _________________________

3. What is the language that the student first acquired? ___________________________

Student Name ___________________________________ Student ID ___________________ Date of Birth ____________________________________ SAIS ID _____________________ Parent/Guardian Signature _________________________________ Date ________________ District or Charter: Amphitheater Public Schools School: Wilson K-8

Please provide a copy of the Home Language Survey to the ELL Coordinator/Main Contact on site. In SAIS, please indicate the student's home or primary language.

1535 West Jefferson Street, Phoenix, Arizona 85007, 602-542-0753, oelas Place original in CUM file. If one or more of the 3 questions indicate a language other than English, place a two-sided copy in the ELL file and send another copy to the English Language Acquisition Office.

Amphitheater Unified School District does not discriminate on the basis of race, color, religion/religious beliefs, gender, sex, age, national origin, sexual orientation, creed, citizenship status, marital status, political beliefs/affiliation, disability, home language, family, social or cultural background in its programs or activities and provides equal access to the Boy Scouts and other designated youth groups. Inquiries regarding the District's non-discrimination policies are handled at 701 W. Wetmore Road, Tucson, Arizona 85705 by Anna Maiden, Equal Opportunity & Compliance Director, (520) 696-5164, amaiden@, or Kristin McGraw, Executive Director of Student Services, (520) 696-5230, kmcgraw@

Estado de Arizona Departamento de Educaci?n

Servicios de Aprendizaje del Ingl?s

Idioma Principal en el Hogar excluyendo el ingl?s (PHLOTE) Encuesta sobre el Idioma en el Hogar

(Efectivo el 4 de abril de 2011)

Preguntas en conformidad con R7-2-306(B)(1), (2)(a-c) del Reglamento de la Junta Directiva.

Las respuestas que proporcione a las preguntas siguientes ser?n usadas para determinar si se evaluar? la competencia en el idioma ingl?s de su hijo(a).

1. ?Cu?l idioma se habla principalmente en su hogar sin considerar el idioma que habla el estudiante? ________________________________________________________________

2. ?Cu?l idioma habla el estudiante con mayor frecuencia? __________________________ 3. ?Cu?l fue el primer idioma que aprendi? el estudiante? ___________________________

Nombre del estudiante ___________________________ N?m. de identificaci?n _____________ Fecha de nacimiento __________________________ N?m. de SAIS ______________________ Firma del padre o tutor ____________________________________ Fecha _________________ Distrito o Charter _______________________________________________________________ Escuela _______________________________________________________________________

-------------------------------------------------------------------------------------------------------------------------------------------Please provide a copy of the Home Language Survey to the ELL Coordinator/Main Contact on site. In SAIS, please indicate the student's home or primary language.

1535 West Jefferson Street, Phoenix, Arizona 85007 ? 602-542-0753 ? oelas

Place original in CUM file. If one or more of the 3 questions indicate a language other than English, place a two-sided copy in the ELL file and send another copy to the English Language Acquisition Office.

En sus programas o actividades el Distrito Escolar Amphitheater no discrimina en base a raza, color, religi?n/creencias religiosas, g?nero, sexo, edad, origen nacional, orientaci?n sexual, credo, estatus de ciudadan?a, estado matrimonial, creencias/afiliaci?n pol?tica, discapacidad, idioma del hogar, familia o antecedente social o cultural y provee igual acceso a los Ni?os Exploradores y otros grupos designados juveniles. Consultas referentes a las p?lizas no discriminatorias del Distrito deben ser referidas a Anna Maiden, Director de Igual Oportunidad y Conformidad del Distrito, 701 W. Wetmore Road, Tucson, Arizona 85705, (520) 696-5164 o, amaiden@, o a Kristin McGraw, Director Ejecutivo de Servicios al Estudiante, 701 W. Wetmore Road, Tucson, Arizona 85705, (520) 696-5230, o kmcgraw@.

SEX-ED AND AIDS EDUCATION

Wilson 5th grade students receive HIV/AIDS and Sex Education classes during the last week of school. The materials we use have been approved by the Amphitheater Governing Board and the State of Arizona Board of Education.

Your written permission is required for your child to participate in the lessons. There will be an alternate activity given to those students who will not be participating.

Materials used in these lessons are available for review at the school.

Student LAST NAME________________ Student FIRST NAME___________________

GRADE________

GENDER_______

_____ MAY PARTICIPATE IN SEX-ED AND HIV/AIDS CLASSES

_____ MAY NOT PARTICIPATE IN SEX-ED AND HIV/AIDS CLASSES

PARENT SIGNATURE ____________________________DATE__________

Amphitheater Unified School District does not discriminate on the basis of race, color, religion/religious beliefs, gender, sex, age, national origin, sexual orientation, creed, citizenship status, marital status, political beliefs/affiliation, disability, home language, family, social or cultural background in its programs or activities and provides equal access to the Boy Scouts and other designated youth groups. Inquiries regarding the District's non-discrimination policies are handled at 701 W. Wetmore Road, Tucson, Arizona 85705 by Anna Maiden, Equal Opportunity & Compliance Director, (520) 696-5164, amaiden@, or Kristin McGraw, Executive Director of Student Services, (520) 696-5230, kmcgraw@

Communication 2018-2019

This form is to ensure that your family will receive communication via email from the Wilson office, administration and PTO. Emails are sent out weekly (Notes Home) with all the most up to date information about what is going on around the school and community.

We only need ONE form per family! Parent Name: _______________________________________

Parent Email: _______________________________________

Volunteering at Wilson

There are many opportunities to volunteer at Wilson. Please choose all the opportunities you would be interested in volunteering for!

Round Up/Chili Cook Off

This is our first major event of the year, and the culmination of our major fundraising effort (The Boot Drive). We need help planning the event, setup, clean up, and we are always open to new ideas!

Silent Auction

The silent auction happens at the chili cook off. We are always looking for donations to add to the silent auction as well as people willing to help deliver letters to local businesses' and help running the auction.

Father/Daughter Dance

A great annual event put on by parents but enjoyed by all!

Spring Festival

This is our largest event of the year. We always need lots of help, planning and executing this event. There are many jobs, big and small!

8th Promotion Activities

There are so many fun activities the last week of school for the 8th graders, help be part of making those experiences memorable.

Amphitheater Unified School District does not discriminate on the basis of race, color, religion/religious beliefs, gender, sex, age, national origin, sexual orientation, creed, citizenship status, marital status, political beliefs/affiliation, disability, home language, family, social or cultural background in its programs or activities and provides equal access to the Boy Scouts and other designated youth groups. Inquiries regarding the District's non-discrimination policies are handled at 701 W. Wetmore Road, Tucson, Arizona 85705 by Anna Maiden, Equal Opportunity & Compliance Director, (520) 696-5164, amaiden@, or Kristin McGraw, Executive Director of Student Services, (520) 696-5230, kmcgraw@

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