Online Registration

Greetings,

On behalf of the Tiverton School District, allow me to be the first to welcome you. As this is the first time that you will be joining our community of learners, I am confident that you will have a great experience. Our staff is caring and committed to providing a high-quality education.

The online feature that we have created is new this year and we are excited to see it save our families time while also streamlining our registration process. Please note that all online registrations will require an in person appointment that will be arranged at a mutually beneficial time between you and one of my staff members here at the Central Administration Office located at 100 North Brayton Road, directly behind the high school. We look forward to seeing you and seeing our newest student in school!


Sincerely, Dr. Peter Sanchioni

Tiverton Public School Kindergarten 19-20 Student Registration

Tiverton Public School Kindergarten 19-20 Student Registration 

STUDENT REGISTRATION FORM PLEASE COMPLETE EACH SECTION

Step 1: Student Information
Male FemaleDate of Birth: (MM/DD/YYYY)
Student Name
(Last)

(First)

(Middle)
Address
(Number and Street)

(Town)

(State)

(Zip)
School Last Attended
(Name of School)

(Town)

(State)

(Zip)

(Phone#)

Federal standards require that school districts collect and report information regarding race and ethnicity:

Is your child Hispanic or Latino? Yes No
What is your child's race?
American Indian Asian Native Hawaiian / Pacific Islander
Caucasian Alaska Native African American
Has your child ever been registered and/or enrolled in the Tiverton Public Schools? Yes No
Do you have other children attending Tiverton Public Schools? Yes No
If yes name of Child(ren): 
Are you a military family (Active Duty, Guard or Reserves)? Yes No

 

Step 2: Family Information
1. Parent / Guardian: Mother Father Other:
Name
(Last)

(First)

(Middle)

(Email Address)
Address (if different from student)
(Number and Street)

(Town)

(State)

(Zip)
Home Phone: Work Phone: Cell Phone:
Check here if you would like to receive texts
2. Parent / Guardian: Mother Father Other:
Name
(Last)

(First)

(Middle)

(Email Address)
Address (if different from student)
(Number and Street)

(Town)

(State)

(Zip)
Home Phone: Work Phone: Cell Phone:
Check here if you would like to receive texts

 

Step 3: Specialized Services Section

 

Does your child presently have an Individualized Education Plan (IEP)? Yes No
Are you providing a copy of your child’s IEP? Yes No
Has your child had a developmental screening from Child Outreach? Yes No
Does your child have a 504 Accommodation Plan? Yes No
Does your child presently receive supplemental English Language instruction? Yes No
Does your child receive any other services not already mentioned? If yes, please explain: Yes No
Step 4: Emergency Contacts & Release Procedures
Each Tiverton School has a full-time School Nurse Teacher assigned. In the event of a major illness or injury, 911 will be called, and we will try to reach you. If you are unavailable , we will contact the individuals below in the order listed in the event of an illness or emergency involving your child. The people listed should be available during school hours. Your child may also be released to these individuals under other circumstances at your request or the school’s request. Suitable identification (driver’s license) will be necessary before the child is released. These are the only people authorized to pick up your child from school. Please complete this section as accurately as possible.
I, (parent/guardian name) authorize the school to release my to the individuals named below:
NameRelationship to ChildDaytime Phone
(Indicate if Home, Work or Cell)
1. Type:
2. Type: 
3. Type: 
4. Type: 
5. Type: 

 

Step 5: Home Language Survey

 

PLEASE COMPLETE THIS FORM WHETHER OR NOT YOU SPEAK A LANGUAGE OTHER THAN ENGLISH.

1a. WHAT LANGUAGE DO YOU USE MOST OFTEN WHEN SPEAKING TO YOUR CHILD?  
1b. ¿Qué idioma utiliza usted con más frecuencia cuando le habla a su hijo/a? 
1c. Que idioma utiliza você com mais frequência quando fala com o seu filho/a? 
1d. ؟ ما ھي اللغة التي تستخدمھا في أغلب الأحوال عندما تتحدث إلى طفلك
1e. 当你们跟孩子说话的时候,你们最时常使用什么语言呢? 


2a. WHAT LANGUAGE DID YOUR CHILD FIRST LEARN TO SPEAK? 
2b. ¿Cuál fue el primer idioma que aprendió a hablar su hijo/a? 
2c. Quando foi o primeiro idioma que o seu filho/a aprendeu a falar? 
2d.  ؟ ما ھي أول لغة تعلم طفلك أن یتكلمھا
2e. 你们的孩子最初学习说话是什么语言? 


3a. WHAT LANGUAGE DOES YOUR CHILD USE MOST OFTEN WHEN SPEAKING TO YOU? 
3b. ¿Qué idioma utiliza su hijo/a con más frecuencia cuando le habla a usted? 
3c. Que idioma utiliza o seu filho/a com mais frequência quando fala consigo?  
3d. ؟ ما ھي اللغة التي یستخدمھا طفلك في التحدث إلیك في أغلب الأحوال
3e. 当你们的孩子跟你们说话的时候,你们的孩子最时常使用什么语言呢? 


4a. WHAT LANGUAGE DOES YOUR CHILD USE MOST OFTEN WHEN SPEAKING TO OTHER ADULTS IN THE HOME OR TO THEIR PRIMARY CARETAKER? 
4b. ¿Qué idioma utiliza su hijo/a con más frecuencia cuando habla con otros adultos del hogar o con la persona que está primordialmente a cargo de su cuidado? 
4c. Que idioma utiliza o seu filho/a com mais frequência quando fala com outros adultos em sua casa ou com a pessoa que normalmente está encarregada do cuidado do seu filho/a? 
4d. ؟ ما ھي اللغة التي یستخدمھا طفلك في أغلب الأحوال في التحدث الى البالغین الآخرین في المنزل أو إلى مقدمي الرعایة الاساسیة
4e. 你们的孩子对其他在家中的成人或对他们的看管者说话的时候最时常使用什么语言呢? 


5a. WHAT LANGUAGE DOES YOUR CHILD USE MOST OFTEN WHEN SPEAKING TO SIBLINGS OR OTHER CHILDREN IN THE HOME? 
5b. ¿Qué idioma utiliza su hijo/a con más frecuencia cuando habla con sus hermanos u otros niños del hogar? 
5c. Que idioma utiliza o seu filho/a com mais frequência quando fala com os seus irmãos ou outras crianças no lar? 
5d. ؟ ما ھي اللغة التي یستخدمھا طفلك في أغلب الأحوال في التحدث إلى أشقائھ/أشقائھا أو إلى الاطفال الآخرین في المنزل
5e. 你们的孩子在家中跟兄弟姊妹或其他的孩子们说话的时候最时常使用什么语言呢?


6a. WHAT LANGUAGE DOES YOUR CHILD USE MOST OFTEN WHEN SPEAKING TO FRIENDS OR NEIGHBORS OUTSIDE THE HOME? 
6b. ¿Qué idioma utiliza su hijo/a con más frecuencia cuando habla con amigos o vecinos fuera del hogar? 
6c. Que idioma utiliza o seu filho/a com mais frequência quando fala com amigos ou vizinhos fora do lar? 
6d. ؟ ما ھي اللغة التي یستخدمھا طفلك في أغلب الأحوال عند التحدث مع الاصدقاء أو الجیران خارج المنزل
6e. 在 家里外面的朋友或邻居说话时,您的孩子最常使用的语言是什么?

 

Step 6: Student Health Section

 

1. Has your child ever had any operations or serious illnesses? If yes, please explain. Yes No
2. Has your child had any serious accidents? If yes, please explain Yes No
3. Does your child wear glasses, contacts, braces, hearing aids, or other corrective device? Yes No
4.Has your child had the following (Give month, year and/or age if known):
Chicken Pox Yes NoHeart condition Yes No
Pneumonia  Yes NoDiabetes Yes No
Nosebleeds Yes NoSeizures Yes No
Frequent sore throats Yes NoHigh fevers Yes No
Scarlet Fever Yes NoEczema Yes No
Polio Yes NoMeasles or Mumps Yes No
Rheumatic Fever Yes NoTuberculosis  Yes No
Ear Infections  Yes NoMigraines Yes No
Diphtheria Yes NoOther (please specify) 
Eye condition  Yes No  
5. Has your child had a neurological evaluation? If yes, when?   Yes No
6. Has your child had a psychological evaluation? If yes, when?   Yes No
7. Is your child restricted from physical activities? If yes, please explain.   Yes No
8. Is your child allergic to medicines/drugs? If yes, please specify   Yes No
8a. Is your child allergic to plants/foods? If yes, please specify.   Yes No
8b. Is your child allergic to insect stings? If yes, please specify.   Yes No
9. If you answered yes to question #8, does your child take medicine for this allergy? If yes, please specify.  
10. Does your child have asthma? If yes, datediagnosed:   Yes No
If yes, what medication(s) does he/she take:  
11. Does your child take any daily medications? If yes, please specify.   Yes No
12. Will medications be given at school?   Yes No
13. What medications are given frequently, but not daily?  
14. Would you like a conference with the school nurse?   Yes No
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