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Opelousas Junior High School Student Registration Form Date // Name Last Date of Birth // Race A I B H W First Middle Birth Certificate Place of Birth Sex M F Social Security Grade Level This Year 7th 8th Sp. Ed. Language Bus Religion Person Student Lives With Student Mailing Address City State Zip Code Student Current Address City State Zip Code Home Phone Parent s Work Phone Parent s Cell Phone Parent s Beeper 1st Emergency Phone Contact 2nd Emergency Phone Last School Attended School Phone School Address Father Name Last Grade Completed Occupation Work Phone Living Yes / Mother No Guardian Guardian s Social Security Does student have any physical defects Yes / No If yes explain* Resource Speech Therapy Adaptive PE Other Any special problems / concerns / needs ATTACH PROOF OF RESIDENCY TO THIS FORM. Out of parish students also need 1 birth certificate 2 immunization record 3 social security card 4 report card or withdrawal sheet from previous school* School Messenger now available. Information found in student handbook. Each student must complete a lunch form* Lunch status must be correct to avoid lunch fees. Language Bus Religion Person Student Lives With Student Mailing Address City State Zip Code Student Current Address City State Zip Code Home Phone Parent s Work Phone Parent s Cell Phone Parent s Beeper 1st Emergency Phone Contact 2nd Emergency Phone Last School Attended School Phone School Address Father Name Last Grade Completed Occupation Work Phone Living Yes / Mother No Guardian Guardian s Social Security Does student have any physical defects Yes / No If yes explain* Resource Speech Therapy Adaptive PE Other Any special problems / concerns / needs ATTACH PROOF OF RESIDENCY TO THIS FORM. Out of parish students also need 1 birth certificate 2 immunization record 3 social security card 4 report card or withdrawal sheet from previous school* School Messenger now available. Out of parish students also need 1 birth certificate 2 immunization record 3 social security card 4 report card or withdrawal sheet from previous school* School Messenger now available. Information found in student handbook. Each student must complete a lunch form* Lunch status must be correct to avoid lunch fees. Language Bus Religion Person Student Lives With Student Mailing Address City State Zip Code Student Current Address City State Zip Code Home Phone Parent s Work Phone Parent s Cell Phone Parent s Beeper 1st Emergency Phone Contact 2nd Emergency Phone Last School Attended School Phone School Address Father Name Last Grade Completed Occupation Work Phone Living Yes / Mother No Guardian Guardian s Social Security Does student have any physical defects Yes / No If yes explain* Resource Speech Therapy Adaptive PE Other Any special problems / concerns / needs ATTACH PROOF OF RESIDENCY TO THIS FORM. Out of parish students also need 1 birth certificate 2 immunization record 3 social security card 4 report card or withdrawal sheet from previous school* School Messenger now available. Information found in student handbook. Each student must complete a lunch form* Lunch status must be correct to avoid lunch fees.

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Keywords relevant to Opelousas Junior Registration Form

  • Immunization
  • Handbook
  • pe
  • defects
  • sp
  • Mailing
  • guardians
  • Resource
  • residency
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