*Immunization records can be obtained at Lentz Public Health Clinic, same address and phone number as above.
Physical Examination - Please see the back of this form for a list of clinics that will complete a physical for school enrollment.
Social Security Card Copy – for a new or replacement card – Please contact the Social Security Administration – 1-800-772-1213 or website: www.ssa.gov.
Proof of Residence (must be a current lease, mortgage or utility bill)
THE PARENT/GUARDIAN MUST PROVIDE ALL THE PROPER INFORMATION BY THE DATE SCHOOL STARTS OR THEIR CHILD WILL NOT BE ADMITTED UNTIL REGISTRATION REQUIREMENTS ARE MET. All ELL students must register through Randalls Learning Center (298-8467).