New Student Registration
The following items are required by the Davis School District and Kaysville Junior High to enroll a new student. o Parent/Legal Guardian Proof of Identity. The person registering the student is one of the parents listed on the birth certificate and it is proven with picture ID. If the guardian is not the student’s parent, stepparent must provide documentation of marriage to student’s parent, like a marriage license.
o Two Forms of Proof of Residency. These will prove that you live within the Kaysville Junior High School boundaries (utility bill, purchase contract, rental agreement, etc.). Documentation must include name and street address.
o Immunization Record. All immunization must be up to date.
- 5 doses DTaP/DTP/DT – 4 doses are acceptable if the 4th dose was given after the 4th birthday.
- 1 Booster dose of Tdap – Effective July 1, 2006, required for students born after July 1, 1993, prior to 7 th grade entry.
- 4 doses Polio – 3 doses are acceptable if the 3rd dose was given after the 4th birthday.
- 2 doses MMR – Measles, Mumps, Rubella
- 3 doses of Hepatitis B – Effective July 1, 2006, required for students born after July 1, 1993, prior to 7 th grade entry.
- 2 doses of Hepatitis A – Required for students born after July 1, 1996, prior to entering Kindergarten. The 1 st dose must be given on or after the 1st birthday.
- 2 doses of Varicella (Chickenpox) – Effective January 1, 2015, required for students born after July 1, 1993, prior to 7th grade entry. Parental history of the disease is acceptable.
- 1 dose of Meningococcal (Meningitis) – Effective January 1, 2015, required for entry into 7th grade.
o Birth Certificate – You must have legal guardianship of your student to register him/her. A power of attorney is not sufficient. If you do not have a court ordered guardianship, please contact Student Services at the District office. Davis School District Student Services Brad Christensen – Director 45 East State Street Farmington, UT 84025 801-402-5159
o Student Withdrawal Papers from previous school and transcript of past grades and/or report card. Previous School: _________________________________________________________ City, State: ______________________________________________________________ Phone Number: __________________________________________________________
o Does the student have any health issues? o No (signature) Date o Yes (signature) Date If yes, please explain. _____________
o Does your student have special education needs?
o No (signature) Date _____________________ o Yes (signature) Date
o IEP o 504
Thank you for your cooperation,
Kaysville Junior High School 100 East 350 South Kaysville, UT 84037 Phone: 801-402-7200 Davis School District
Guardianship Status Under Utah Law and Davis School District Policy, a child is eligible to attend a school if their parent or legal guardian resides within the school’s boundaries. Exceptions to this may only be granted through the Boundary Variance process or the Student Services Department.
Student’s Name _____________________________ Student’s Birthdate __________________________ Please select the statement below which best describes your relationship to the student whom you wish to register at this school. A separate form must be completed for each child you are registering. * I am the parent (birth / adopted) of this child and this child lives with: Both Parents Mother Father I am the parent (birth/ adopted) of this child and am not currently married to the other parent: ** I have been awarded physical custody through the courts ** I am not listed on the birth certificate, but have established paternity **I am not the parent (birth or adopted) of this child. I am a relative or friend. (Check only one) I have been awarded legal guardianship of this child through the court I have not been awarded legal guardianship of this child through the court. ***I am a foster or proctor parent. Caseworker Name ________________________________ Phone#___________ None of the above statements describe my relationship to this child. (Please explain) Your Name: _____________________ Address: _____________________________ Your Signature: _______________________________ Date ______________________ - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - * A copy of the birth certificate is required ** To assist us in complying with court orders, please provide us with a copy of all legal documents. *** DCFS, Foster Care or Youth Corrections placement requires a District Case Management Team staffing with the Caseworker, prior to enrollment. All Foreign Exchange Students must process through Student Service