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2019/2020 School Year Enrollment Form
Student Name
Street Address
City
State
Zip
Student's Age
Date of Birth
Current Grade
Grade/School Applying For
School Currently Attending
City of Current School
Does your child currently have an IEP?
Yes
No
Parent/Guardian Name
Relationship
Address (if different)
Home Phone
Work Phone
Email Address
Parent/Guardian Name
Relationship
Address (if different)
Home Phone
Work Phone
Email Address
Other Comments
Note: Students from outside Minocqua J1 School District need to apply for Open Enrollment with the Wisconsin DPI. For more information go to
Open Enrollment Application Process
I Certify My Electronic Signature
Parent Name (eSig)
Date
Submit
