White Rock School - Pre-K Enrollment 2020-2021

Skip to main content

Home
Search

Navigation

Home
Admin
Board of Education
Athletics
Cafeteria
Teachers
Parents/Students
Community
Employment
Search

Parents/Students
Pre-K Enrollment 2020-2021

Pre-K Enrollment 2020-2021

Student Enrollment Information

White Rock School

334998 E 1010 RD

McLoud, OK 74851

(405) 964-3428 · Fax (405) 964-3427

2020-2021

Pre-K Enrollment

Student's Legal First Name
Tooltip

Student's Middle Name
Tooltip

Student's Legal Last Name
Tooltip

Student's Preferred Name
Tooltip

Date of Birth:

Gender

Female

Male

Grade Entering
Tooltip

Home Street Address
Tooltip

Apt. #
Tooltip

City
Tooltip

Zip Code
Tooltip

Does your student reside in White Rock School district?

Yes

No

If NO, what school district does the student reside in?
Tooltip

Special Education:

No

Yes

504 Plan:

No

Yes

U.S. Citizen:

No

Yes

Does your student have a birth certificate? Copy required for enrollment

Yes

No

Other

Other

Upload Student's Birth Certificate

Upload

Does your student have immunization records? Copy required for enrollment

Yes

No

Other

Other

Upload Student's Immunization Records

Upload

Ethnic Group:

Hispanic/Latino

African American

Native American

Asian

Pacific Islander

Caucasian

If Native American, does your student have a CDIB card?

Yes

No

Last School Attended:

Date Last Attended:

Last Grade Completed:
Tooltip

Student resides with:

Both Parents

Mother

Father

Other

Other

If Other, Name and Relationship:
Tooltip

Legal/Custody Papers? Copy required for student file

No

Yes

Mother's First Name
Tooltip

Mother's Last Name
Tooltip

Mother's Home Phone Number
Tooltip

Mother's Street Address
Tooltip

Mother's City of Residence
Tooltip

Mother's Cell Phone
Tooltip

Mother's Place of Employment
Tooltip

Mother's Work Phone
Tooltip

Father's First Name
Tooltip

Father's Last Name
Tooltip

Father's Home Phone Number
Tooltip

Father's Street Address
Tooltip

Father's City of Residence
Tooltip

Father's Cell Phone
Tooltip

Father's Place of Employment
Tooltip

Father's Work Phone
Tooltip

Guardian's First Name
Tooltip

Guardian's Last Name
Tooltip

Guardian's Home Phone Number
Tooltip

Guardian's Street Address
Tooltip

Guardian's City of Residence
Tooltip

Guardian's Cell Phone
Tooltip

Guardian's Place of Employment
Tooltip

Guardian's Work Phone
Tooltip

Emergency Contact (First Name):
Tooltip

Emergency Contact (Last Name):
Tooltip

Emergency Contact (Phone Number):
Tooltip

Relationship to Child:
Tooltip

Emergency Contact (First Name):
Tooltip

Emergency Contact (Last Name):
Tooltip

Emergency Contact (Phone Number):
Tooltip

Relationship to Child:
Tooltip

Is any parent/legal guardian (including non-custodial) employed on Federal or Indian property?

Yes

No

Does any parent/legal guardian (including non-custodial) live on Federal or Indian property?

Yes

No

Is any parent/legal guardian (including non-custodial) an active duty military member (PROOF required)?

Yes

No

Email a copy to

optional

Required Fields

White Rock Public School

334998 E. 1010 Rd, McLoud, OK 74851-3057
Phone: 1-405-964-3428
Fax: 1-405-964-3427

Log In

White Rock Public School

334998 E. 1010 Rd, McLoud, OK 74851-3057
Phone: 1-405-964-3428
Fax: 1-405-964-3427

Log In

Log In

Contents © 2020 White Rock School

Share This Page On:

Google Translate Disclaimer Google Translate