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Seibert  \nAssistant Superintendent for Business & Management Services  \nAttachments  \nIf you have questions please contact: Mary Jones  \nPhone: 914-273-4198 Ext. 5950/ Fax: 914-273-4199  \n[majones@byramhills.org](majones@byramhills.org)  \nFORM A  \nByram Hills School District  \n10 Tripp Lane  \nArmonk, New York 10504  \nProof of Residency Checklist  \nProof of residency in the Byram Hills School District is required from all families with children attending schools within the District. The documentation needed is listed below.  \nAll applicable material must be submitted to the District’s Business Office.  \nFor District Use Only Initial and Date  \n􀀹 Proof of Residency (See Requirements to Verify Residency)  \no Executed copy of lease, deed or tax bill  \no Proof of Residency Form (Form B **), including the street address with the name of the parent/ guardian registering the student  \no Two documents showing proof of residency (such as: tax forms/returns, utility bills, driver's license, car registration, etc.)  \n\n|  |\n| --- |\n|  |\n|  |\n\nFamily Name:   Phone \\#:   Email Address:    \nResidency approval will be based on receipt and approval of the above information/forms.  \nPlease bring or send back proof of residency to:  \nByram Hills CSD Attn: Mary Jones  \n10 Tripp Lane Armonk, NY 10504 914-273-4198 Ext. 5930  \n[majones@byramhills.org](majones@byramhills.org)  \nForm C rev.2017.01  \nByram Hills School District  \nRegistration Form  \n\n| HOUSEHOLD INFORMATION |\n| --- |\n| Family’s Last Name   Today’s Date   Residence Type (choose one): 􀀍 Lease 􀀍 Own 􀀍 Rent 􀀍 Other:   Household Residence Address:  \u003Cbr>______________________________________________________________________________________________________\u003Cbr>Household Mailing Address, if different from residence address:  \u003Cbr>______________________________________________________________________________________________________\u003Cbr>Primary Household Phone:   Is this a Cell Phone? 􀀍 YES 􀀍 NO Language Spoken at Home  \u003Cbr>Have any of your children previously attended a Byram Hills school or received special services from the School District?\u003Cbr>􀀍 YES 􀀍 NO If YES, Last school year/ date of attendance  \u003Cbr>Address at the time, if different than current address  |\n| RESIDING “IN HOUSEHOLD” – PARENT/GUARDIAN \\#1 |\n| First Name   Last Name  \u003Cbr>Salutation 􀀟 Mr. 􀀟 Mrs. 􀀟 Ms. 􀀟 Dr. Other  Gender: 􀀟 Male 􀀟 Female\u003Cbr>Relationship to Student: 􀀟 Mother 􀀟 Father 􀀟 Other  \u003Cbr>Cell Phone   Work Phone   Email Address   Custodial Parent/Guardian?: 􀀟 Yes 􀀟 No\u003Cbr>Is parent full-time, active-duty member of US Armed Forces or National Guard? 􀀟 Yes 􀀟 No If Yes, Entry Date   |\n| RESIDING “IN HOUSEHOLD” – PARENT/GUARDIAN \\#2 |\n| First Name   Last Name  \u003Cbr>Salutation 􀀟 Mr. 􀀟 Mrs. 􀀟 Ms. 􀀟 Dr. Other  Gender: 􀀟 Male 􀀟 Female\u003Cbr>Relationship to Student: 􀀟 Mother 􀀟 Father 􀀟 Other  \u003Cbr>Cell Phone   Work Phone   Email Address   Custodial Parent/Guardian?: 􀀟 Yes 􀀟 No\u003Cbr>Is parent full-time, active-duty member of US Armed Forces or National Guard? 􀀟 Yes 􀀟 No If Yes, Entry Date   |\n| RESIDING “OUTSIDE THE HOUSEHOLD”– PARENT/GUARDIAN |\n| First Name   Last Name  \u003Cbr>Salutation 􀀟 Mr. 􀀟 Mrs. 􀀟 Ms. 􀀟 Dr. Other  Gender: 􀀟 Male 􀀟 Female\u003Cbr>Relationship to Student: 􀀟 Mother 􀀟 Father 􀀟 Other  \u003Cbr>Out of Household Address:   Home Phone   Cell Phone   Work Phone   Email Address   Custodial Parent/Guardian?: 􀀟 Yes 􀀟 No Is parent full-time, active-duty member of US Armed Forces or National Guard? 􀀟 Yes 􀀟 No If Yes, Entry Date   |\n\n10 Tripp Lane, Armonk, New York 10504 -914-273-4198 ext. 5930 -Fax: 914-273-4199  \nBYRAM HILLS SCHOOL DISTRICT  \n10 TRIPP LANEARMONK, NEW YORK 10504  \nPROOF OF RESIDENCY F","cbCaipVL1An0iIrS","https://ap.wps.com/l/cbCaipVL1An0iIrS","pdf",483922,6,"English","# Proof of Residency Checklist\n## Required documents and submission instructions\n## District use fields and residency approval\n# Registration Form (Form B)\n## Household information\n## Parent/guardian details\n## Children enrolling and other household children","[{\"question\":\"What families must complete this residency packet after an address change?\",\"answer\":\"Families already residing in the District who have changed addresses within the District are asked to complete the packet and return it to the District Office.\"},{\"question\":\"What documents are required to verify residency?\",\"answer\":\"Submit an executed copy of a lease, deed, or tax bill, complete the residency proof form (Form B) with the parent/guardian and street address, and provide two additional documents showing proof of residency such as tax forms, utility bills, or a driver’s license.\"},{\"question\":\"How is residency approval determined?\",\"answer\":\"Residency approval is based on receipt and approval of the information and forms listed in the packet by the District.\"}]","Byram Hills School District - Proof of Residency Checklist and Registration Form | PDF"]