School Enrollment Residency Verification Agreement Form

School Enrollment Residency Verification Agreement Form
Please complete the School Enrollment Residency Verification Agreement Form to confirm your residency for school enrollment purposes. All information will be used solely for residency verification.
Student's Full Name
First NameLast Name
Parent/Guardian Full Name
First NameLast Name
Relationship to Student
Residency Address (within school district)
Street Address
Street Address Line 2
CityState / ProvincePostal / Zip Code
Length of Residency at Current Address (years and months)
Contact Email
example@example.com
Contact Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Number of Children Enrolling
Upload Proof of Residency (e.g., utility bill, lease agreement)
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Residency Verification Agreement: I certify that the information provided above is accurate and that I reside at the address listed for the purpose of school enrollment. I understand that providing false information may result in loss of enrollment privileges.
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