Subject
:
STUDENT INFORMATION
For which School Year are you applying?
:
Student First Name / Middle Name / Last Name / Suffix
:
no suffix
Jr
Sr
III
Nickname (if applicable)
:
Date of Birth
:
Social Security Number
:
(We will contact you to obtain this information.)
Gender
:
Female
Male
Is a language other than English used in the Home?
:
Yes
No
If yes, language used:
:
Would you like to receive information sent home in this language?
:
Yes
No
Does the student have a first language other than English?
:
Yes
No
If yes, first language is:
:
Does the student most frequently speak a language other than English?
:
Yes
No
If yes, language most frequently spoken is:
:
Ethnicity
:
Multiracial
Black
White
Hispanic
Asian
Native American
Other
Is the student a dependent of active-duty military
personnel ?
YES
NO
PREVIOUS SCHOOL INFORMATION
Name of previous school attended
:
Address of Previous School
:
(address line 1)
:
(address line 2)
:
City:
, State:
Zip:
Country:
PRIMARY CONTACT INFORMATION
First / Middle / Last Name / Suffix
:
Ms.
Mrs.
Mr.
Dr.
no suffix
Jr
Sr
III
Relationship
:
Home Phone
:
Work Phone
:
Cell Phone
:
Email Address
:
Home Address *
:
(address line 1)
:
(address line 2)
:
City:
, State:
Zip:
How did you hear about ISB ?
:
* This is where all school correspondence, including
report card, will be mailed
SIBLING INFORMATION
Sibling-1 First Name / Last Name
:
no suffix
Jr
Sr
III
Grade Level
:
Sibling-2 First Name / Last Name
:
no suffix
Jr
Sr
III
Grade Level
:
HEALTH INSURANCE
REGISTRATION / RE-REGISTRATION RULES & COMMITMENTS
I acknowledge the following registration
dates and deadlines: Current Student & Sibling Registration:
March 15-July 1, 2009.
I acknowledge that only completed registration
applications will be accepted.
Students who have registered are admitted
and enrolled in the school. If the number of students
enrolled exceeds enrollment capacity, selection by lottery
will take effect.
If space is available after the registration
deadline the extended registration and admission periods
will take effect on July 6, 2009.
I acknowledge that I must complete my volunteer
commitment by May 26, 2009 in order to be eligible to attend
ISB for the 2009-2010 school year.
I understand that I must attach original yellow and blue Health and Immunization Records to this registration application.
I acknowledge that if my child is entering
seventh grade my child is required to have a Tetanus/Diphtheria
(Td) booster and I shall present to the school attached to
this application an up-to-date Immunization Record reflecting
that my child has received this booster prior to February
10, 2010.
If my child is not transferring from a Florida
School, I must attach a copy of Birth Certificate to this
application.
I understand that my child’s picture
may appear in newspapers, television, or any school-related
web-site or publications or other communication tools used
to promote International School of Broward. I have the option
of writing a letter to the school declining this authorization
at the beginning of each school year.
I acknowledge that both I and my child will
adhere to and comply with the following :
International School of Broward Parent and Student
Handbook,
International School of Broward Parent and Student
Contract,
Broward County Public Schools Student Code of Conduct,
International School of Broward School Discipline Policy,
International School of Broward Parent Volunteer Commitment,
International School of Broward School Uniform Policy,
International School of Broward Student Driving Policy.
In addition, I acknowledge that I will provide
the following :
I will provide transportation for my child to
attend International School of Broward,
I will ensure that my child is dropped-off no earlier
than 15 minutes prior to the start of school or I will
register my child in the school’s morning care
program,
I will ensure that my child is picked-up no later
than 15 minutes following the end of school or I will
register my child in the school’s aftercare program,
I understand that the school’s before and/or
after care program is a fee-based program for students
in 6 through 12 Grade,
I understand that I will be charged fees for dropping
my child off early or picking my child up late and that
is acceptable to me,
I understand that it is my responsibility to update
my contact information with the school if it should change,
I understand that I must maintain student sports and
accident insurance each year.
I understand these policies and shall ensure that both my
child and I will adhere to them.
Name of Parent / Guardian (1) / Date
Name of Parent / Guardian (2) / Date
Name of Student / Date
Special Comments:
: