Which school did your student attend last year? Hillsdale Monroe Neil Armstrong Academy Stansbury Valley Crest West Lake STEM Other 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: Name of Previous School Address of Previous School Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Previous School Email (If Known) Previous School PhonePrevious School FaxStudent's Legal Name* First Last Middle MiddleStudent 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. This is only applicable if your student has been in the Granite District before. Race/EthnicityIs this student Hispanic/Latino? Yes No Which of the following groups describe the student's race? Asian Black Caucasian 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 PhoneDoes 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 Not Sure 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 Relation Lives With Yes No Release (Can the student be checked out by this individual?) Yes No Home PhoneWork PhoneCell PhoneParent/Guardian Name #2 Relation Lives With Yes No Release (Can the student be checked out by this individual?) Yes No Home PhoneWork PhoneCell PhoneParent/Guardian Name #3 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 PhoneCell PhoneName of Emergency Contact #2 First Last Home PhoneWork PhoneCell PhoneName of Emergency Contact #3 First Last Home PhoneWork PhoneCell PhonePrevious School AttendedSchool Address Street Address City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Siblings 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* Enter Email Confirm Email This email address will be used to send your student's class schedule. It is vital that we have a valid email on file. PreviousHomeNext