NON-TSC RESIDENT ENROLLMENT REQUEST FORM

Child's Namerequired

First Name

Last Name

Date of Birthrequired

Must contain a date in M/D/YYYY format

School Year Requestedrequired

Grade Requestedrequired

TSC School Requestedrequired

Does your student currently attend the selected closed enrollment school?Closed enrollment schools are Burnett Creek, Woodland and Wyandotte Elementary Schools.

Yes

No

Closed enrollment schools are Burnett Creek, Woodland and Wyandotte Elementary Schools.

Are you a TSC employee?

Yes

No

You must select a different TSC School to request above in order to continue completing the form.

Parent/Guardian Namerequired

First Name

Last Name

Address of Residencerequired

Cityrequired

Staterequired

Ziprequired

Phone numberrequired

(xxx)xxx-xxxx

Email Addressrequired

School District of Legal Settlementrequired

School Currently Attendingrequired

Parent/Guardian submitting formrequired

First Name

Last Name