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Greene CSD District Registration Form

Welcome to Greene 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

Proof of Residency forms (mortgage, rental agreement, utility bill)

Proof of Immunizations

Registration Assistance

For technical assistance or any other questions, please contact our registrar at registration@greenecsd.org. 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 Greene Central School District. We look forward to meeting you.

Student's First Name *

Student's Middle Name

Student's Last Name *

Student's Date of Birth (Please Enter as Day, Month, Year Ex. 1 Jan 2023) *

Student's Gender *

Male

Female

Other

Is the student Hispanic? *

Yes

Student's Race: *

White
American Indian
Alaskan Native
Asian
Black or African American
Native Hawaiian / Other Pacific Islander

Primary Language *

Secondary Language:

Student's Cell Phone Number

Primary Contact First Name *

Primary Contact Last Name *

Primary Contact Relationship to Student *

Mother

Father

Other

Primary Contact Email *

Primary Contact Cell Phone Number *

Primary Contact Work Phone Number

Primary Contact Home Phone Number *

Primary Contact Unit Number (Apt, Unit #)

Primary Contact Street Number *

Primary Contact Street Name *

Primary Contact City *

Primary Contact State *

Primary Contact ZIP Code *

Primary Contact Mailing Street/P.O. Box (If Different than Primary Address)

Primary Contact Mailing City (If Different than Primary Address)

Primary Contact Mailing State (If Different than Primary Address)

Primary Contact Mailing Zip Code (If Different than Primary Address)

Emergency Contact First Name (Must be different from Primary Contact) *

Emergency Contact Last Name (Must be different from Primary Contact)

Emergency Contact 10 Digit Phone Number (Must be different from Primary Contact)

Emergency Contact Relationship (Must be different from Primary Contact)

Emergency Contact Allowed to Pick Up

Yes

Emergency Contact Living With Student?

Yes

Parent/Guardian #2 First Name

Parent/Guardian #2 Last Name

Parent/Guardian #2 10 Digit Phone Number

Parent/Guardian #2 Email Address:

Parent/Guardian #2 Unit Number:

Parent/Guardian #2 Street Number and Name:

Parent/Guardian #2 City:

Parent/Guardian #2 State:

Parent/Guardian #2 Zip Code:

Parent/Guardian #2 Relationship to Student

Parent/Guardian #2 Receive Mailings

Yes

Parent/Guardian #2 May Pick Up

Yes

Parent/Guardian #2 should have Parent Portal Access

Yes

Parent/Guardian #2 Living With Student?

Yes

Additional Contact #1 First Name

Additional Contact #1 Last Name

Additional Contact #1 10 Digit Phone Number

Additional Contact #1 Relationship to Student

Additional Contact #1 Living With Student?

Yes

Additional Contact #1 May Pick Up

Yes

Additional Contact #2 First Name

Additional Contact #2 Last Name

Additional Contact #2 10 Digit Phone Number

Additional Contact #2 Relationship to Student

Additional Contact #2 May Pick Up

Yes

Additional Contact #2 Living With Student?

Yes

Has the student ever attended Greene Central School District before? *

Yes

Has the student ever received any Special Education services, have an IEP or 504 Plan? *

Yes

Will you be requesting transportation for your student? District transportation is not provided for UPK students under the age of 4, or MS/HS students that are within walking zones. *

Yes

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

Yes

Please enter the current school the student is attending. *

Current School- Address: *

Current School- Left Date: *

Current School- Last Grade Completed: *

Please list all children under 21 currently living within the household include: Grade, Date of Birth and Gender.

Please upload your students Proof of Age (ie: birth certificate, passport, etc) *

List of Allowed file types

Acceptable Proofs of Residency: (Need to be dated in the past 2 months.)

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.

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

*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. *

List of Allowed file types

If there is a custody agreement, or any court documentation regarding any custody issues or foster care, please attach them here:

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 Greene Central School District or its employees responsible for the collection of such information.

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