[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"doc-seo-193287-105":3,"detail-sidebar-cat-1-en-105":81,"doc-detail-193287-en":127},{"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","2025-2026-enrollment-packet-english-4-student-and-parentguardian-enrollment-form","2025-2026-Enrollment-packet-English-4 - Student and Parent/Guardian Enrollment Form","","Enrollment packet form collecting student demographic details and parent/guardian information for school registration. Sections capture parent/guardian names, addresses, preferred language, phone numbers, emails, occupations, and relationship to the child when not the parent. It also records education level selections, required signatures with dates, pediatrician contact details, health alerts, medical conditions, allergies, emergency instructions, and regular medicines. 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It also includes signatures and dates.","Answer",{"name":66,"@type":61,"acceptedAnswer":67},"How does the form handle children with cochlear implants?",{"text":68,"@type":64},"It includes a specific note that no MRI is allowed for children with cochlear implants. This restriction is recorded within the special-needs section.",{"name":70,"@type":61,"acceptedAnswer":71},"What health information must be provided for emergency situations?",{"text":72,"@type":64},"The form asks for health alerts, medical conditions, allergies, regular medicines, and clear instructions for emergencies when parents or emergency contacts cannot be reached. For epi-pen cases, it also requires allergy details and what to look for, plus the school plan.","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},193287,1788426953,{"code":4,"msg":82,"data":83},"success",[84,89,94,99,104,109,113,118,123],{"id":85,"doc_module":22,"doc_module_name":25,"category_name":86,"show_sort_weight":87,"slug":88},11,"Presentations",90,"presentations",{"id":90,"doc_module":22,"doc_module_name":25,"category_name":91,"show_sort_weight":92,"slug":93},12,"Resumes",80,"resumes",{"id":95,"doc_module":22,"doc_module_name":25,"category_name":96,"show_sort_weight":97,"slug":98},14,"Invoices",70,"invoices",{"id":100,"doc_module":22,"doc_module_name":25,"category_name":101,"show_sort_weight":102,"slug":103},15,"Posters",60,"posters",{"id":105,"doc_module":22,"doc_module_name":25,"category_name":106,"show_sort_weight":107,"slug":108},16,"Social Media",50,"social-media",{"id":110,"doc_module":22,"doc_module_name":25,"category_name":29,"show_sort_weight":111,"slug":112},17,40,"forms",{"id":114,"doc_module":22,"doc_module_name":25,"category_name":115,"show_sort_weight":116,"slug":117},18,"Letters",30,"letters",{"id":119,"doc_module":22,"doc_module_name":25,"category_name":120,"show_sort_weight":121,"slug":122},21,"Paper Templates",5,"papers-templates",{"id":124,"doc_module":22,"doc_module_name":25,"category_name":125,"show_sort_weight":4,"slug":126},158,"General","general-158",{"code":4,"msg":82,"data":128},{"doc_id":79,"user_id":129,"nickname":42,"user_avatar":130,"doc_module":22,"category_id":110,"category_name":29,"doc_title":10,"doc_description":12,"doc_content":131,"file_id":132,"file_url":133,"file_type":134,"file_size":135,"view_count":55,"is_deleted":4,"is_public":22,"is_downloadable":22,"audit_status":22,"page_count":136,"language":137,"language_code":8,"site_id":7,"html_lang":8,"table_of_contents":138,"faqs":139,"seo_title":140,"seo_description":12,"update_tm":80,"read_time":141},13056703019662,"https://ap-avatar.wpscdn.com/avatar/be000253a8e92610077?_k=1778726343310543188","| Parent/Guardian 1 |  |\n| --- | --- |\n| Parent’s Name\u003Cbr>Address\u003Cbr>Preferred Language\u003Cbr>\u003Cbr>\u003Cbr>Date ofBirth  \u003Cbr>Preferred \\#\u003Cbr>Home Phone  \u003Cbr>Cell Phone\u003Cbr>Other Language(s)\u003Cbr>\u003Cbr>Work Phone\u003Cbr>\u003Cbr>Email Address\u003Cbr>Occupation   Employer  \u003Cbr>If legal guardian, describe the relationship to the child: |  |\n| Parent/Guardian 2 |  |\n| Parent’s Name   Date ofBirth  \u003Cbr>Preferred \\# |  |\n| Address (if different)   Home Phone Preferred Language   Cell Phone Other Language(s)   Work Phone Email Address  \u003Cbr>Occupation   Employer\u003Cbr>If legal guardian, describe the relationship to the child: | |\n\n\n| Mother/Parent 1 | Father/Parent 2 |\n| --- | --- |\n| ☐ 8th grade or less | ☐ 8th grade or less |\n| ☐ Some high school | ☐ Some high school |\n| ☐ High school diploma/GED | ☐ High school diploma/GED |\n| ☐ Some college | ☐ Some college |\n| ☐ Bachelor’s degree | ☐ Bachelor’s degree |\n| ☐ Graduate/Post graduate degree | ☐ Graduate/Post graduate degree |\n| ☐ Unknown | ☐ Unknown |\n\n\n| Child’s Name: | Date ofBirth: |\n| --- | --- |\n| Parent/Guardian: | Relationship to child if not the parent: |\n| Parent Signature: | Date: |\n| Parent/Guardian: | Relationship to child if not the parent: |\n| Parent Signature: | Date: |\n\n\n| Pediatrician’s Name/Number |  |\n| --- | --- |\n\n\n| HEALTH ALERTS : List any health alerts, medical conditions, allergies, etc. and instructions in case of emergency and the parent/emergency contacts can’t be reached. Please list any regular medicines your child takes.\u003Cbr>Include for children with cochlear implants “No MRI allowed” |\n| --- |\n|  |\n\n\n| Nombre de estudiante: | Fecha de Nacimiento: |\n| --- | --- |\n| Padre/Guardián 1 : | Relación con estudiante si no con el padre: |\n| Firma de Padre: | Fecha: |\n| Padre/Guardián 2: | Relación con estudiante si no con el padre: |\n| Firma de Padre/Guardián: | Fecha: |\n\n\n| Nombre / número del pediatra: |  |\n| --- | --- |\n| ALERTAS DE SALUD: Listar las alertas de salud, afecciones médicas, alergias, etc. e instrucciones en caso deemergencia y no se pueda localizar a los padres/contactos de emergencia. Enumere los medicamentos que toma su hijo con regularidad. Incluir para niños con implantes cocleares \"No se permiten MRI-resonancias magnéticas\" |  |\n|  |  |\n\n\n| Full Name Parent 1:\u003Cbr>Signature: |  | Parent 1 cell number:\u003Cbr>Parent 1 work number: | Parent 1 address: |\n| --- | --- | --- | --- |\n| Full Name Parent 2:\u003Cbr>Signature: |  | Parent 2 cell number:\u003Cbr>Parent 2 work number: | Parent 2 address (if different): |\n\n\n| Name | Phone Number | Relationship to Child |\n| --- | --- | --- |\n|  |  |  |\n|  |  |  |\n|  |  |  |\n\n\n| Name | Relationship to child | Is there a court order related to this individual? (if yes, it must be attached) |\n| --- | --- | --- |\n|  |  |  |\n\n\n| Pediatrician’s Name/Number: |  |\n| --- | --- |\n| HEALTH ALERTS: List any health alerts, medical conditions, allergies, etc. and instructions in case of emergency and the parent/emergency contacts can’t be reached. Please list any regular medicines your child takes. |  |\n|  |  |\n\n\n| Name: | Relationship to child | Phone Number | E-mail address |\n| --- | --- | --- | --- |\n|  |  |  |  |\n|  |  |  |  |\n|  |  |  |  |\n|  |  |  |  |\n|  |  |  |  |\n|  |  |  |  |\n|  |  |  |  |\n\n\n| Nombre completo padre 1:\u003Cbr>Firma: | Número de celular padre 1:\u003Cbr>Número del trabajo padre 1: | Dirección padre 1: |\n| --- | --- | --- |\n| Nombre complete padre 2:\u003Cbr>Firma: | Número de celular padre 2:\u003Cbr>Número del trabajo para 2:: | Dirección padre 2 (si es diferente): |\n\n\n| Nombre | Número de teléfono | Parentesco con el niño |\n| --- | --- | --- |\n|  |  |  |\n|  |  |  |\n|  |  |  |\n\n\n| Nombre del contacto NO autorizado | Parentesco con el niño | Hay una orden de la corte relacionada a este(a) individuo(a)? (si es así, incluya una copia) |\n| --- | --- | --- |\n|  |  |  |\n\n\n| Nombre/número del pediatra |  |\n| --- | --- |\n| ALERTAS DE SALUD: Provea una lista de cualquier alerta de salud, condiciones médicas, alergias, etc. y las instruccionesen caso de emergencia","cbCailoGphstlyLg","https://ap.wps.com/l/cbCailoGphstlyLg","pdf",1959548,25,"English","# Parent/Guardian Information\n## Parent 1 and Parent 2 Details\n## Education Level Selections\n## Student and Guardian Signatures\n# Health and Medical Information\n## Pediatrician Contact\n## Health Alerts, Allergies, and Emergency Instructions\n## Special Needs and Epi-Pen Allergy Details\n## Medicine Name, Dose, and Frequency","[{\"question\":\"What information is requested for Parent/Guardian 1 and Parent/Guardian 2?\",\"answer\":\"The form requests each guardian’s name, address (if different), date of birth (where applicable), preferred language, phone numbers, email address, occupation/employer, and relationship to the child if not the parent. It also includes signatures and dates.\"},{\"question\":\"How does the form handle children with cochlear implants?\",\"answer\":\"It includes a specific note that no MRI is allowed for children with cochlear implants. This restriction is recorded within the special-needs section.\"},{\"question\":\"What health information must be provided for emergency situations?\",\"answer\":\"The form asks for health alerts, medical conditions, allergies, regular medicines, and clear instructions for emergencies when parents or emergency contacts cannot be reached. For epi-pen cases, it also requires allergy details and what to look for, plus the school plan.\"}]","2025-2026-Enrollment-packet-English-4 - Student and Parent/Guardian Enrollment Form | PDF",9]