[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"doc-seo-279597-105":3,"detail-sidebar-cat-1-en-105":81,"doc-detail-279597-en":126},{"code":4,"msg":5,"data":6},0,"ok",{"site_id":7,"language":8,"slug":9,"title":10,"keywords":11,"description":12,"schema_data":13,"social_meta":74,"head_meta":76,"extra_data":78,"updated_unix":80},105,"en","2023-2024-preference-form","2023-2024 Preference Form","","2023-2024 child program preference form for a Rome City School District registration. Collects the child’s name, DOB, parent/guardian contact information, and marks first and second program choices across full-day and extended day options at specified locations. Includes consent and lottery acknowledgement, plus requirements for new enrollments (birth certificate, immunization record, and three residency proofs) and returning families (three residency proofs meeting chart rules).",{"@graph":14,"@context":73},[15,34,56],{"@type":16,"itemListElement":17},"BreadcrumbList",[18,23,27,31],{"item":19,"name":20,"@type":21,"position":22},"https://docshare.wps.com","Home","ListItem",1,{"item":24,"name":25,"@type":21,"position":26},"https://docshare.wps.com/template/","Template",2,{"item":28,"name":29,"@type":21,"position":30},"https://docshare.wps.com/template/forms/","Forms",3,{"item":32,"name":10,"@type":21,"position":33},"https://docshare.wps.com/template/2023-2024-preference-form/279597/",4,{"url":32,"name":10,"@type":35,"image":36,"author":41,"headline":10,"publisher":44,"fileFormat":47,"inLanguage":8,"description":12,"dateModified":48,"datePublished":49,"encodingFormat":47,"isAccessibleForFree":50,"interactionStatistic":51},"DigitalDocument",{"url":37,"@type":38,"width":39,"height":40},"https://docshare.wps.com/thumbnails/2023-2024-preference-form/279597.png","ImageObject",442,249,{"name":42,"@type":43},"Bintang","Person",{"url":19,"name":45,"@type":46},"DocShare","Organization","application/pdf","2026-10-23","2026-09-16",true,{"@type":52,"interactionType":53,"userInteractionCount":55},"InteractionCounter",{"@type":54},"ViewAction",11,{"@type":57,"mainEntity":58},"FAQPage",[59,65,69],{"name":60,"@type":61,"acceptedAnswer":62},"How do parents submit first and second program choices?","Question",{"text":63,"@type":64},"Parents must mark their 1st and 2nd program choices on the form, selecting among the listed full-day programs and extended day care options with the corresponding locations and times.","Answer",{"name":66,"@type":61,"acceptedAnswer":67},"What documents are required for new enrollments?",{"text":68,"@type":64},"New enrollment requires a birth certificate, immunization record, and three proofs of residency.",{"name":70,"@type":61,"acceptedAnswer":71},"What is the residency proof requirement for Rome City School District registration?",{"text":72,"@type":64},"The parent/guardian must provide three proofs: at least one item from Regulation 7003.1 Chart 1 and two items from Regulation 7003.1 Chart 2, with the residence consistent across all submitted documents.","https://schema.org",{"og:url":32,"og:type":75,"og:title":10,"og:site_name":45,"og:description":12},"article",{"robots":77,"canonical":32},"index,follow",{"doc_id":79,"site_id":7},279597,1790237392,{"code":4,"msg":82,"data":83},"success",[84,88,93,98,103,108,112,117,122],{"id":55,"doc_module":22,"doc_module_name":25,"category_name":85,"show_sort_weight":86,"slug":87},"Presentations",90,"presentations",{"id":89,"doc_module":22,"doc_module_name":25,"category_name":90,"show_sort_weight":91,"slug":92},12,"Resumes",80,"resumes",{"id":94,"doc_module":22,"doc_module_name":25,"category_name":95,"show_sort_weight":96,"slug":97},14,"Invoices",70,"invoices",{"id":99,"doc_module":22,"doc_module_name":25,"category_name":100,"show_sort_weight":101,"slug":102},15,"Posters",60,"posters",{"id":104,"doc_module":22,"doc_module_name":25,"category_name":105,"show_sort_weight":106,"slug":107},16,"Social Media",50,"social-media",{"id":109,"doc_module":22,"doc_module_name":25,"category_name":29,"show_sort_weight":110,"slug":111},17,40,"forms",{"id":113,"doc_module":22,"doc_module_name":25,"category_name":114,"show_sort_weight":115,"slug":116},18,"Letters",30,"letters",{"id":118,"doc_module":22,"doc_module_name":25,"category_name":119,"show_sort_weight":120,"slug":121},21,"Paper Templates",5,"papers-templates",{"id":123,"doc_module":22,"doc_module_name":25,"category_name":124,"show_sort_weight":4,"slug":125},158,"General","general-158",{"code":4,"msg":82,"data":127},{"doc_id":79,"user_id":128,"nickname":42,"user_avatar":129,"doc_module":22,"category_id":109,"category_name":29,"doc_title":10,"doc_description":12,"doc_content":130,"file_id":131,"file_url":132,"file_type":133,"file_size":134,"view_count":55,"is_deleted":4,"is_public":22,"is_downloadable":22,"audit_status":22,"page_count":22,"language":135,"language_code":8,"site_id":7,"html_lang":8,"table_of_contents":136,"faqs":137,"seo_title":138,"seo_description":12,"update_tm":139,"read_time":4},962085564381,"https://ap-avatar.wpscdn.com/davatar_6f874abed73319feea01a86fa6f0fab8","CHILD’S NAME:   DOB:   DATE:    \nAll programs are parent transport. Please mark your  1st and 2nd program choices below:  \n  Clough Location-409 Bell Rd S-Full Day Program  \n9 :00-2:30 Program  \n  Rome Catholic School Location-800 Cypress St-Full Day Program  \nCheck One:   Option One (No Charge): 8:00 am-1:00 pm (No religious instruction)   Option Two: Extended Day Care ($500 per year) 7:30 am-2:30 pm  \n( Prayers at 7:50 , 1-2:30 may include religious instruction  \n  Head Start Location-276 Brookley Rd-Full Day Program  \n8 :30-2:30 ( Must meet Head Start Qualifications, please indicate a 2nd choice)  \nADDITIONAL DOCUMENTATION REQUIRED:  \nNew Enrollment: Birth Certificate, Immunization Record, 3 Proofs of Residency  \nReturning Families: 3 Proofs of Residency  \nProof of Residency Requirements for Rome City School District Registration: The parent/guardian must provide three (3) forms of proof to include at least one item from Regulation 7003.1 Chart 1 and two (2) items from Regulation 7003.1 Chart 2. The residence listed must be consistent with all submitted documents.  \nChart 1 : (one ( 1) item) Chart 2: (two (2) items)  \n\n| Landlord Statement Lease Agreement Deed\u003Cbr>Paycheck Stub Income Tax Form Electric Utility Bill Water Bill Mortgage Statement | Court Order\u003Cbr>Government Issued Documents Drivers License\u003Cbr>Non-Drivers License\u003Cbr>Internet Service\u003Cbr>Bank Statement\u003Cbr>US Postal Address Change Phone Bills\u003Cbr>Voters Card\u003Cbr>Auto Insurance\u003Cbr>Notarized Letter of Residency Credit Card Statements Affidavits |\n| --- | --- |\n\nBy signing this form, I understand that all slots are assigned by lottery and every effort will be made to honor my preferences for a location. I also acknowledge that all completed forms and supporting documentation must be approved by the ECP Staff to be included in the placement lottery. I realize that it might not be possible to get my first choice.  \nPARENT/GUARDIAN NAME:   SIGNATURE:   E-MAIL:   PHONE:    \nFor Office Use Only:  \nBirth Certificate  Shot Record  Proof of Residency: 1   2   3   Program: 3 YO 4 YO","cbCaigBb0K9yguv9","https://ap.wps.com/l/cbCaigBb0K9yguv9","pdf",66356,"English","# Program Choices\n## Options and Schedules\n# Required Documentation\n## New Enrollment vs Returning Families\n## Proof of Residency Charts\n# Signatures and Office Use","[{\"question\":\"How do parents submit first and second program choices?\",\"answer\":\"Parents must mark their 1st and 2nd program choices on the form, selecting among the listed full-day programs and extended day care options with the corresponding locations and times.\"},{\"question\":\"What documents are required for new enrollments?\",\"answer\":\"New enrollment requires a birth certificate, immunization record, and three proofs of residency.\"},{\"question\":\"What is the residency proof requirement for Rome City School District registration?\",\"answer\":\"The parent/guardian must provide three proofs: at least one item from Regulation 7003.1 Chart 1 and two items from Regulation 7003.1 Chart 2, with the residence consistent across all submitted documents.\"}]","2023-2024 Preference Form | PDF",1789523840]