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Vestal CSD District Registration Form

Welcome to Vestal Central School District,

The online registration process will give us the initial information we need to enroll your student. During this process you will be asked to securely upload the following documents that are needed for registration:

Birth Certificate or Passport

(2) Proofs of Residency forms (mortgage, rental agreement, utility bill)

Custody Paperwork (if applicable)

Proof of Immunizations

Registration Assistance

For technical assistance or any other questions, please contact our registrar at registration@vestal.k12.ny.us. If you would like to book an in person appointment with our registrar, please schedule it by using the link below:

Schedule In Person Registration Appointment

Thank you for enrolling at Vestal Central School District.

Student's First Name *

Student's Middle Name

Student's Last Name *

Student's Date of Birth *

Student's Gender *

Male

Female

Other

Is the student Hispanic? *

Yes

Student's Primary Language *

Student's Secondary Language (if applicable) *

Student's Cell Phone Number

Primary Contact's First Name *

Primary Contact's Last Name *

Primary Contact's Relationship *

Mother

Father

Other

Primary Contact's Email *

Primary Contact's Cell Phone Number *

Primary Contact's Work Phone Number

Primary Contact's Home Phone Number *

Primary Contact's Unit Number

Primary Contact's House Number *

Primary Contact's Street Name *

Primary Contact's City *

Primary Contact's State *

Primary Contact's ZIP Code *

Contact #2 First Name *

Contact #2 Last Name *

Contact #2 10 Digit Phone Number *

Contact #2 Relationship to Student *

Contact #2 Living with Student? *

Yes

Contact #2 Allowed to Pick Up Student? *

Yes

Contact #2 Receive Mailings? *

Yes

Additional Contact 3- First Name *

Additional Contact 3- Last Name *

Additional Contact 3- 10 Digit Home Phone Number *

Additional Contact 3- Relationship to Student *

Additional Contact 3- Living with student *

Yes

Additional Contact 3- Allowed to Pick Up Student? *

Yes

Additional Contact 4- First Name

Additional Contact 4- Last Name

Additional Contact 4- 10 Digit Phone Number

Additional Contact 4- Relationship to Student

Additional Contact 4- Living with Student

Yes

Additional Contact 4- Allowed to Pick Up

Yes

Has the student ever attended a Vestal Central School District before? *

Yes

Name of Last School Attended (Use N/A if not applicable): *

Date Left Last School (use N/A if not applicable): *

Last Grade Completed (use N/A if not applicable): *

Address of Last School (use N/A if not applicable): *

Phone Number of Last School (use N/A if not applicable): *

Has the student ever received any special education services, have an IEP, or 504? *

Yes

Will you be requesting transportation for your student? (District transportation is not provided for UPK students or students within walking zones) *

Yes

Does your family work in agricultural or related industries and moved across districts or state lines several times within as 12-36 month period of time, following the various crops by season? *

Yes

List all children under the age of 21 currently living in the household: (Please enter First Name, Last Name, Grade, School and Date of Birth) *

Emergency Information

Physician: *

Phone: *

Hospital Choice: *

Allergy or other Medical Alerts: *

Please upload Proof of Age (ie: Birth Certificate or Passport) *

List of Allowed file types

Acceptable Proof of Residency

Need (2) forms of acceptable proofs of residency dated within the past 2 months.

A copy of residential lease or proof of ownership of a home, such as a deed or a mortgage statement.

Official driver’s license, learners permit or non-driver Identification.

Utility or other bill (NYSEG, Spectrum, or a garbage service).

Voter registration

Car/ renters/ homeowners insurance.

Pay stub

Tax form

Bank statement

Documents issued by federal, state, or local agencies (such as from a local social services agency).

Evidence of custody of the child, including but not limited to judicial custody orders or guardianship papers.

*We cannot accept a copy of an envelope that has been mailed to you. We will need a full copy of the document inside. *

Please attach your 2 forms of proof of residency. *

Add attachment

List of Allowed file types

If there is a custody agreement, or any court documentation regarding any custody issues or foster care.

Add attachment

List of Allowed file types

Acceptance *
By signing below, I certify that all information provided is accurate and that I have not knowingly or intentionally provided false information in an attempt to mislead or deceive Vestal Central School District or its employees responsible for the collection of such information.

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