EmailMe Form - RWPCS Reenrollment Form SY22-23

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Parents/Guardians: Please complete this form to confirm your child's enrollment at Richard Wright PCS, a member of the My School DC Schools.

Student Information: You must fill out one form for each child you are enrolling

Student Name *

First Middle Last

Date of Birth *

MM / DD / YYYY

Current Grade 2020-2021SY: *

Enrolling Grade 2021-2022SY *

Phone

### - ### - ####

Parent/Guardian Information: Should be the person completing the form and confirming residency.

Name *

First Last

TextArea List

WHAT IS YOUR RELATION TO THE STUDENT?

Address *

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country / Region

Please read and check each box below to confirm your enrollment for the 2022-23SY. *

• I understand that by submitting this form, I am confirming the re-enrollment of the student above in the enrolling school for the 2022-23SY

• I understand that I cannot maintain enrollment at more than one school for the 2022-23SY

• I understand that once this form is submitted, I will be re-enrolled at RWPCS for the 2022-23SY. Thereafter, if I decide not to return, I must come in to the school and complete the RWPCS Withdrawal/Transfer Form.

• I understand that if I should choose to enroll at another school for the 2022-23SY, I must notify the enrolling school listed above before completing another enrollment.

• I understand that DC Proof of Residency is due by May 31, 2022 to secure enrollment for the 2022-23SY or my student will not be guaranteed a space.

• I have read, understand, and agree to the attached the RWPCS Student Internet/Computer Usage Agreement. If you do not agree, please leave blank.

• I have read, understand, and agree to the attached RWPCS School Year Media Release Form. If you do not agree, please leave blank.

Parent/Guardian Signature *

Clear

Parent/Guardian Electronic Signature (Name of Person Completing and Signing the Form) *

Date Time *

MM / DD / YYYY

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Parents/Guardians: Please complete this form to confirm your child's enrollment at Richard Wright PCS, a member of the My School DC Schools.

Student Information: *You must fill out one form for each child you are enrolling*

Parent/Guardian Information: *Should be the person completing the form and confirming residency.*

Student Information: You must fill out one form for each child you are enrolling

Parent/Guardian Information: Should be the person completing the form and confirming residency.