IN ORDER TO ENROLL A CHILD IN SCHOOL, the following MUST be provided.
1.   PROOF OF BIRTHDATE - Certified birth certificate, baptismal record or passport - original documents.

2.   IMMUNIZATION RECORD - Signed or stamped by a doctor.
Doctor’s verification of month and year of the following immunizations:
____ a. Poliomyelitis (polio) 4 doses but 3 doses are acceptable if the last dose was given after the
age of 4 years.
____ b. DPT 5 doses but 4 doses are acceptable if the last dose was given after the age of 4 years
                        - diphtheria
                        - pertussis
                        - tetanus
____ c. MMR (2 doses) The first dose must be given on or after the first birthday. One of the doses must be MMR; the other dose may be any measles-containing vaccine.
                        - Measles
                        - Mumps
                        - Rubella (Rubeola)
____ d. Hepatitis B (3 doses)
____ e. Varicella (chicken pox) on or after first birthday.
____ f. Tuberculin Skin Test (TST) or Interferon Gamma Release Assay (IGRA) blood test given
within 12 months prior to school entrance
Written evidence to the school must include:
           - Date TST was given
           - Date TST was read (must be 48-72 hours after given)
            - Measurement of the induration in millimeters
            - Signature of physician or designee
            - For IGRA, original or copy of lab report
______  Full physical examination (completed after March 1, 2012).
______  Dental examination (completed after August 1, 2011).
  
3.   PROOF OF RESIDENCE – One of the following must be provided clearly indicating the name of the parent/guardian of the child AND the address within the Mt. Pleasant School District boundaries. (Before submitting documentation please cross out all listed dollar amounts and account numbers to maintain privacy)

• Property tax payment receipts,
• Rental property contract,
• Lease or Rental payment receipts,

Utility service contract, statement or payment receipts (PG&E, Water, Trash) Phone bills are not acceptable.

• Pay stubs;
• Voter registration,
• Correspondence from a government agency,

If you are unable to obtain proof of residency and reside with another family whose name appears on the above documents, please submit a signed Verification of Residency form with one of the above Proof of Residence forms.

Special Circumstances:

• If you cannot provide proof of residence in your name and can not obtain a Verification of Residency please contact the school secretary to discuss the requirements for completing a Declaration of Residency Form.
• If you have become homeless or do not have permanent housing please contact the School Secretary regarding enrollment.

4.   EMERGENCY CONTACT INFORMATION- Names, addresses, phone numbers of individuals who are authorized to pick up your child from school in an emergency.

Senate Bill  1381 Kindergarten Entrance Requirements

For a list of what documents you need to register your child.
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Mt.Pleasant School District Enrollment Form

2012-2013 CLASSROOM EVACUATION CARD