EmailMe Form - RWPCS New Student Enrollment Form SY22-23

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SEAT ACCEPTANCE FORM

Parents/Guardians: You must fill out one form for each child you are enrolling that participated in the My School DC lottery.

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 School (2021-2022SY) *

Current Grade 2021-2022SY: *

Enrolling New School (2022-2023SY) *

Enrolling Grade (2021-2022Y): *

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

Name *

First Last

What is your relation to the student? *

Address *

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

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

Records Release: *Please check the required box below so that Richard Wright PCS may request your child's records.*

By signing this form, I authorize the enrolling school to request records from the current school for the student above. I also hereby authorize the enrolling school to request records from any other previous schools that the student above has attended. I understand that the enrolling school will not further transfer or communicate the records to any other party or agency without my express written consent except under authority of the Family Educational Rights and Privacy Act (FERPA) (20 U.S.C. § 1232g; 34 CFR Part 99). *

I authorize.

ENROLLMENT CONFIRMATION: Please read and sign the bottom of this form to confirm your understanding of each statement and your child’s enrollment for 22-23SY. *

I understand that I cannot maintain enrollment at more than one school for 22-23SY and I am confirming my enrollment at the “Enrolling School” above.

I understand that once this form is submitted, I will give up my space at my current school for 22-23SY and my current school will be notified that my space may be awarded to another family.

I understand that if I enroll as a result of receiving a waitlist offer from this school that I will be removed from the waitlists of all schools ranked below this school on my My School DC application.

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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SEAT ACCEPTANCE FORM

Parents/Guardians: You must fill out one form for each child you are enrolling that participated in the My School DC lottery.

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.