Registration Card Has the student ever been enrolled in Granite District?* Yes No Granite District school most recently attended:Academy Park ElementaryArcadia ElementaryArmstrong AcademyBacchus ElementaryBeehive ElementaryBennion ElementaryBennion Junior HighBonneville Junior HighBrockbank Junior HighBridger ElementaryCopper Hills ElementaryCottonwood ElementaryChurchill Junior HighCrestview ElementaryDiamond Ridge ElementaryDriggs ElementaryEastwood ElementaryEisenhower Junior HighElk Run ElementaryEvergreen Junior HighFarnsworth ElementaryFox Hills ElementaryFremont ElementaryFrost ElementaryGourley ElementaryGranger ElementaryGranite Park Junior HighHillsdale ElementaryHillside ElementaryHunter ElementaryHunter Junior HighJackling ElementaryJefferson Junior HighKearns Junior HighKennedy Junior HighLake Ridge ElementaryLincoln ElementaryMagna ElementaryMatheson Junior HighMill Creek ElementaryMonroe ElementaryMorningside ElementaryOakridge ElementaryOakwood ElementaryOlympus Junior HighOquirrh Hills Elementary HillsOrchard ElementaryPenn ElementaryPleasant Green ElementaryPlymouth ElementaryRedwood ElementaryRolling Meadows ElementaryRoosevelt ElementaryRosecrest ElementarySandburg ElementarySilver Hills ElementarySmith ElementarySouth Kearns ElementarySpring Lane ElementaryStansbury ElementaryTaylorsville ElementaryTruman ElementaryTwin Peaks ElementaryUpland Terrace ElementaryValley Junior HighValley Crest ElementaryVista ElementaryWasatch Junior HighWest Kearns ElementaryWest Valley ElementaryWest Lake Junior HighWestbrook ElementaryWestern Hills ElementaryWhittier ElementaryWilson ElementaryWright ElementaryOtherWas this the last school you attended? Yes No Last year attending that school: Last school attended:Please include school name, city and state. Student's Legal Name* First Middle Last Student Gender* Male Female Student's Birthdate* Month Day Year Student Number:*This is often referred to as the student's "9 number." It's a 7-digit number that begins with a 9. Race/EthnicityWhich of the following groups describe the student's race?* Asian Black Caucasian Hispanic Native American Pacific Islander Native American Tribal Information Goshute Navajo Paiute Northwest Band Shoshone Ute Other General Information:Student's Home* Street Address City ZIP Code Home Phone*Does this student reside in a single parent home? Yes No Does the student have healthcare needs? Yes No List special needs: Has the student received Special Ed/504 services? Yes No What was the first language the student learned to speak?* English Spanish What is the language spoken most often by the student? English Spanish What is the language most often spoken in the home? English Spanish What language do you prefer for school home communication? English Spanish ***PARENT/GUARDIAN NAME(S) AND ADDITIONAL CONTACTS***Parent/Guardian Name #1* First Last Relation* Lives With* Yes No Release (Can the student be checked out by this individual?)* Yes No Home Phone*Work Phone*Mobile Phone*Parent/Guardian Name #2 First Last Relation Lives With Yes No Release (Can the student be checked out by this individual?) Yes No Home PhoneWork PhoneCell PhoneParent/Guardian Name #3 First Last Relation Lives With Yes No Release (Can the student be checked out by this individual?) Yes No Home PhoneWork PhoneCell Phone******PERSON TO CALL IN EMERGENCY WHEN PARENT CANNOT BE REACHED******Name of Emergency Contact #1* First Last Home PhoneWork PhoneMobile Phone*Name of Emergency Contact #2 First Last Home PhoneWork PhoneCell PhoneName of Emergency Contact #3 First Last Home PhoneWork PhoneCell PhoneSiblings in DistrictSibling Name Birth Date Month Day Year Sibling Name Birth Date Month Day Year Sibling Name Birth Date Month Day Year Sibling Name Birth Date Month Day Year Sibling Name Birth Date Month Day Year Final SectionParent/Guardian Signature* Please type your name to indicate the information on this form is accurate.Email* This email address will be used to send your student's class schedule. Please make sure you click the submit button before using the following navigation buttons. Previous Home Next