Sylvania Schools Requirements for Registration 2018-2019 school year
Registration is by appointment only: For appointments call 419-824-8581
Please be prompt for your appointment.  If you are late, you will need to reschedule.
In complying with the legal requirements of the “Missing Child Act” and the Sylvania Schools Board of Education, the following information and documentation must be on file:
1.	Official Birth Certificate with raised seal (hospital certificate is not acceptable)- If you do not have an original, you may obtain a certified copy of a birth certification through the Toledo Lucas County Health Department - Vital Records Department at 635 N. Erie Street, Toledo, OH 43624.  There is a fee for each requested copy.  They will make a certified copy for you while you wait, Mon.-Fri. 8:00-4:30 or call them at 419-213-4100.  
2.	Custody Papers (if child is not living with both biological parents)- If legal custody has not been established, the petitioner must present a filed court motion for change of custody of the child.  The petitioner has sixty (60) days from the time of enrollment to produce a Journal Entry of Judgment establishing custody proceedings.  If legal custody has already been established, please bring the file stamped document with all signatures.  A copy will be made for school records.
        Foster Placed Children Items Required: 
A.	Initial Custody and Placement Document from County with parent name & address listed
B.	Interim Order- with hearing date listed 
C.	School Notification Letter from County
D.	Journal Entry with School District responsible listed (this document available after hearing date)

3.	Photo I.D. of Parent/Custodial Parent/Guardian must be presented when registering student.
Also any paperwork showing a parental name change (i.e. divorce/re-marriage) must be presented.
4.   Immunization record: Must be submitted to school prior to first day of attendance or in previous school records.
5.   Proof of Residency- You must provide the following:
	
	Renting- House or Apartment	Purchasing a Home	Own your Home	Building a Home	
a.	Signed rental agreement	Signed Purchase Agreement- closing date listed	Current Utility Bill	Signed Building Contract- must move in within 90 days of enrolling	
b.	Current Utility Bill within 30 days	Executed Settlement Statement within 72 hours after closing date		Current Utility Bill within
 30 days of moving in	
c.		Current Utility Bill within 60 days after closing		After 90 days, tuition at the current school years rate charged if haven’t moved in	
Ø      For persons living with family or friends- You will need the following at the time of registration:
			    Section “C” (Statement of Domicile) needs to be completed and notarized
			    Moving in with a person in an apartment or leased house will not be accepted, unless your name 
				is on the lease
    Utility bill of the person you are living with
		    Utility bill, paycheck stub, W2 document or other government document with the parent                     
		      name and same address as the person you are living with (30 days)
			
6.	Special Education – If a child is receiving Special Education services, please bring a copy of the current IEP (Individualized Education Plan) and current Evaluation (completed every three years) that made your child eligible for special education services.  	
				
											Revised 3/27/18

1.	Children must be 5 years old on or before August 1st to be enrolled in kindergarten in the Sylvania School District.
2.	Please have all forms completed before you come to your appointment. Enrollment/Registration forms cannot be filled out during your appointment.
3.	If immunization records are not presented at time of enrollment or not received in previous school records, your child may be excluded from school until proof of immunization is provided.

4.	Junior and Senior High School students must call their counselor for an appointment to schedule classes.  At the appointment the Parents/Students must provide the counselor with a recent transcript and the green file folder that is obtained from Student Services upon completion of the enrollment process. SCHOOL ADMINISTRATION MAY REFUSE ENROLLMENT/SCHEDULING UNTIL PROPER DOCUMENTS ARE PRESENTED.

      Northview High School                419-824-8570              Southview High School         	 419-824-8580               
      Secretary  	Ann Kuebler  	 	 ext. 5112                    	Secretary	Lisa Yoshino		ext. 6112
      A to Fl         Crystal Burnworth          ext. 5108                    	A to E     	Michelle Peer		ext. 6110
      Fo to L       Melanie Rogers           	 ext. 5109                     	F to Le   	Tony Geha		ext. 6111
      M to Ro	Kate Henk                     	 ext. 5110                  	Li to Ro	Jodi Hess		ext. 6113
      Ru to Z	Stacy Wachowiak	 ext. 5111                     	 Ru to Z	Teresa Ontko		ext. 6114
      Arbor Hills Junior High               419-824-8640                   McCord Junior High  		419-824-8650
      Secretary	Debbie Wilson                  ext. 4104                      Secretary	Kyle Hensley                	ext. 4200
A-	L	Amy Barricklow              ext. 4107                       A- L		Marcia Robie		ext. 4204
      M- Z	Liz Casey	      	  ext. 4106                       M- Z	 	Valerie Long            	 ext. 4205
      Timberstone Junior High	        419-824-8680               Elementary Schools
      Secretary	Cheryl Draheim        	ext. 4300                  Central - 419-824-8610	Stranahan- 419-824-8614
       A-K 	Brittany Robbins           	ext. 4306                  Highland- 419-824-8611	Sylvan- 419-824-8615
       L- Z	Rochelle Ford              	 ext. 4307                 Hill View- 419-824-8612	Whiteford- 419-824-8616
                                                                                                  Maplewood- 419-824-8613
Athletic Directors   				      
Northview- Chris Irwin	419-824-8570	#5113		Transportation
Southview- James Huss	419-824-8580	#6115		419-824-8686

REGISTRATION BY APPOINTMENT ONLY:  PLEASE CALL 419-824-8581
STUDENT INFORMATION FORM

School: 						   	School Year: 		2018-2019		
Student ID # 						Grade 						
Student Information							
Legal Last Name 						Address	 					
Legal First Name _________________________________		Apt# 			   Lot # 			
Middle Name	 					City 						
Date of Birth 			 Age 			State 			Zip Code 		
Gender (Circle)		Male		Female		Phone No. 					
Legal District (If court placed) 				Siblings in District:  Yes 		      No 		
Miscellaneous
Birth City 						Birth State 					
Birth Country 						Citizen of 					
Native (First) Language 					Main Language Spoken at Home 			
Is the student Hispanic/Latino? _____ Yes  ______ No
Ethnic Description: Please circle all that apply:         A- Asian            W- White             B- Black/African American       
				              	I- American Indian /Alaskan Native        P- Native Hawaiian/Pacific Islander
Disability Services/504 Information					
If your child is receiving special education or 504 services please complete this section. Check all that apply.
Current IEP 			Current Evaluation 			(Include Speech Only Services)
504 Plan 			Please provide checked documents at the time of registration.
Previous School District
School  							Phone No. 					
Address 							Fax No. 						
							District Name 					
If the student was not born in the United States, please answer the following:
Is this the first time attending a school in the United States?		Yes 		No 	
If  No, how long has the student attended a school in the United States?  (Months and/or Years)					
Parent/Guardian Information	
1. Name 							2. Name						     
    Relationship 						    Relationship 					
    Living with student:  Yes 		   No 			    Living with student:  Yes 		  No 		
    Address if different: 					    Address if different 				
    							     						
    Can Pick Up Student:   Yes 	   No 			    Can Pick Up Student:   Yes 	   No 		
    Emergency Call Priority:  No. 1 	        No. 2	  	    Emergency Call Priority:  No. 1 	        No. 2	
    Employer 						     Employer 					
    Occupation  						     Occupation 					
    Work Phone 			Ext. 			     Work Phone 			Ext. 		
    Cell Phone 						     Cell Phone 					
    E-mail  						      E-mail 					
Custody Information- **File Stamped Court Documents must be presented at the time of registration.
Parents legally- separated 	____   divorced ___________  in process with Court papers 	______   never married 		 
Do Court papers indicate joint custody/shared parenting?	_________ Yes		_________ No
Who has primary residential custody per court Records?	_________Mother	__________Father 	__________Guardian

			
Emergency Contacts (Other than Parent/Guardian Listed on first page) 
Last Name							Last Name					
First Name 							First Name					
Relationship 							Relationship					
Can pick up student:	Yes 		    No 	    	 	Can Pick Up Student:    Yes 		No	
Emergency Call Priority:	No. 3 	   	    No. 4 	       		Emergency Call Priority: No. 3                 No. 4          	
Address								Address	     					
							  	    		 				
Home Phone							Home Phone 	 				
Work Phone							Work Phone	 				
Cell Phone							Cell Phone	 				

Medical
Doctor’s Name							Dentist’s Name 					
Address								Address	        					
Phone								Phone             					

Preferred Hospital 						Phone 						
Health Ins/Medicare 					
Allergies 													
Are allergies life threatening?	Yes	No	Other 								
Health Factors 													

School –Age Sibling Information
Name	1. 				   2. 					  3. 				
Relation	 				       					      				
School	 				       					      				
Grade					       					      				

(If you need additional space for school-age siblings, please list on the back of page.)

All information listed on the verification form is accurate for enrollment purposes.

													
Parent Signature							Date

Sylvania Schools – Residency Affidavit

Name of Student: 							 School: 				

	According to Ohio Revised Code, school districts have the right to request verification of legal residency.  By signing this affidavit, you are affirming that the address given on the student enrollment form(s) is the legal residence of the parent/guardian enrolling the student and the legal residence of said student.  You must also provide the proper documentation to prove your residency in the district.

	Further, I am aware of the Policy of the Sylvania School District, which states that if a student is found to have residency in our district by using false or inaccurate information, the student will be dismissed/excluded from school until resolved by school Administration.  If determination is made that there was an attempt on the parent/student/or resident to defraud the Sylvania School District, restitution will be sought legally.  Sylvania Schools may file charges with local authorities to prosecute and recover reimbursement for tuition and legal fees from the parties responsible.  Those responsible will be held liable for all costs incurred while the student was enrolled in the Sylvania School District.  The tuition rate will be based on the daily rate for the current school year.

By signing below, you indicate that you have read and understand this document.

															
Signature of Parent/Guardian						Date

														
Signature of Person with whom residing (if applicable)			Date

								(Office Use Only):
New Phone Number (if applicable) ________________________						                              											New Student ___________
					                                       			     Parental Move__________

Sylvania Schools – Verification of Residency

Name of Student: 							 School: 				

Please fill in and sign the appropriate section(s).  School official will attach a copy of the proof of residency to this form.

SECTION A: Please check one:

	I reside with my child at 											
	I have supplied school officials with proof of residency.
	I have purchased a home at 										
I will be residing with my child at this address within 60 calendar days of the child's first date of attendance.  I have supplied school officials with a copy of the purchase contract.
	I am building a home at 											
I will be residing with my child within 90 calendar days of the child’s first date of attendance.  I have supplied school officials with a signed contract from the builder.

									 					
Signature of Parent/Guardian							Date

SECTION B for Foster Parents or Guardians

I am the Foster Parent or Legal Guardian of 								.  This child is presently residing in my residence at 								 on a full-time basis.  I have supplied school officials with court documents verifying the custody order.

Signature of Foster Parent or Guardian						Date
Section C – Statement of Domicile

I, 									 declare that 				
		District Resident									Student
physically resides in my home at 										 

on a full-time basis with 						.  They have NO other residence listed on 
				Parent/Guardian
documents, and further declare that they eat, sleep, and maintain daily activities at this residence.

									 					
Signature of Person Providing Residence					Date

___________________________________________________________
Phone Number of District Resident

Signature of Notary 							 Notary Phone # 		

Office of Student Services
Robert Verhelst, Director

REQUEST FOR TRANSFER OF SCHOOL RECORDS

This form is provided by the Sylvania Schools for the purpose of obtaining or releasing a student’s school records.  By signing this release, a parent, legal guardian, or the student involved who is over 18 years of age, will expedite the transfer of records to another school for enrollment in that school.
Please include test scores, social, psychological, academic and health records.

Release Records To:		Sylvania Schools Student Services
			Attn: Hema Shah
					4747 N. Holland Sylvania Rd.
					Sylvania, OH 43560
					hshah@sylvaniaschools.org

								DATE OF
NAME OF STUDENT 						 BIRTH 			 GRADE 	

NAME OF SCHOOL
STUDENT IS LEAVING 											

ADDRESS OF SCHOOL 											
City _____________________ State___________ Zip___________ FAX: ___________________
I hereby authorize the transfer of school records for the above named student.  By signing this request for transfer, I relieve the school which the above named student was attending of the responsibility of notifying me that the records are being transferred.

Date 			 Signature									
			 (Parent, Legal Guardian, or self if 18 years of age)
			Address 									
			(If moving, list new address if available)
Date 			 Signature 									
			 (Name and title of school person initialing request for transfer)
Name of school the student will be attending in Sylvania _______________________________
1.	Parents, Legal Guardians or legal age students may request review and/or copy of the records transferred.  If you request a copy of the school records being transferred, the school is relieved of responsibility for confidentiality of those records.
2.	Records transferred by this release are not to be transferred to any other third party by the receiving school without the written consent of the parent, legal guardian, or student over 18 years of age.	

Information/records needed for enrollment:
1. 	 Copy of current grades/transcript of past grades.
2. 	 Standardized test results.
3. 	 Copy of health record/immunization dates
4. 	 Copy of attendance/suspension/discipline records
5. 	 Copy of current evaluation – current IEP – current 504 Plan
6. 	 Birth Certificate.
7. 	 Custody papers		
	                                                               PLEASE DO NOT FAX RECORDS 

Office of Student Services
Robert Verhelst, Director

Student Registration
Home Language Survey

Student Name	_________________   __________________  ________________  ______________
                             First Name	                Middle Name              Last Name                Called Name

Birth Date: __________________       Gender  _________   Grade  _____________

Place of Birth: __________________  _________________  _________________
                                  City		 State		             Country
                         
Parent/Guardian __________________  Address  _______________________________________
                                                                                                             City                State             Zip Code

Home Phone  ____________  Work Phone  ______________  Cell  _____________

 What language did your son/daughter speak when he/she first learned to talk? ____________________

What language does your son/daughter use most frequently at home?  __________________________

What language do you use most frequently with your son/daughter:  ____________________________

What language do the adults at home most often speak?  ____________________________________

Does anyone in your home read English?     Yes _____    No  _____

Is the student from a foreign country?        Yes  ______  No  ______
   If yes, please answer the following questions:

       Date of entry into USA:______________ Country of origin:  _________________

 When did your son/daughter first enroll in school in the US?  Month  ________ Year  ________

_________________________________________      _______________
(Signature of Parent or Guardian)				  Date

  

TRANSPORTATION REGISTRATION       
2018-2019

In an effort to make our bus routes more effective and efficient, we are now requiring parents/guardians to request transportation for their student(s).  We also ask that you complete the form even if your child does not need to ride the school bus, as this will aid us in the bus routing process.  Please provide the following information for the 2017-2018 school year:

(Please complete one form for each student in your family)

Student’s name: ________________________________________	D.0.B: ____________________

School: _____________________________________ 			Grade: ____________________
						                     
Address: ______________________________________________	

Phone #: __________________________	                Other Phone #: _______________________________

TRANSPORTATION NEEDED: _____AM	_____PM	_____BOTH

WE DO NOT NEED TO RIDE THE SCHOOL BUS _____

Parent/Guardian Signature: _______________________________________________

------------------------------------------------------------------------------------------------------------------------
WE REQUEST THAT YOU MAKE EVERY EFFORT TO RETURN THIS FORM TO THE TRANSPORTATION OFFICE BY JUNE 9th, 2017, IN ORDER FOR YOUR STUDENT TO BE PLACED ON A ROUTE FOR THE 1ST DAY OF SCHOOL.  THANK YOU FOR YOUR ATTENTION IN COMPLETING THIS REQUEST.

The Transportation Registration Form may be submitted online at www.sylvaniaschools.org.  If your student needs to be picked up/dropped off at a residence other than where they reside, please complete a Student Release Form.  The Student Release Form may be obtained at your student’s school, Sylvania Schools Administration Building, Sylvania Schools Transportation Office or online.

If not submitted electronically, please return this form to your student’s school.  You may also mail or fax the form to:

Sylvania Schools
Transportation Department
4747 N Holland Sylvania Rd
Sylvania, OH 43560
Phone:  419-824-8686 *   Fax:  419-824-8789