Wellington-Napoleon r-ix enrollment Packet Student Enrollment Checklist

Enrollment Date ___________________________________ Requested Start Date ____________________________

1. 
   DOCUMENTATION NEEDED PRIOR TO ENROLLMENT:
   

___Consent for Release of Information

___Wellington-Napoleon R-IX Enrollment Form

___Basis for Admission of Student

___Proof of Residency within the R-IX School District Boundaries

___Safe Schools Act Statement

___Medical History Forms

___Current Immunization Records

___Proof of age- Official document that states student’s legal name, date of birth, and name of parent(s)

(If the student is not living with at least one of the parents listed on the official document, you will need to provide proof of court appointed guardianship)

1. 
   A current, original utility bill (only electricity, gas, water, or water statement or account) that means the following:
   
2. 
   Rental/Lease agreement including:
   
3. 
   A contract to build to purchase a home in the district reflecting a possession or closing date within 90 calendar days of the first day of attendance.
   

_____ Interested in Sports Activities Y _____ N _____

____________________________________ Completed Enrollment Packet---Principal