New Student Pre-Enrollment Form

We can’t wait to welcome your student(s) for the 2024-2025 school year!

Please complete the form below to begin the enrollment application process!

Iowa law requires a student to be a resident of the district in which they attend school.

NOTE: If your student(s) resides in another Iowa school district, an Iowa District-to-District Open Enrollment application is required. See District-to-District Open Enrollment webpage for more information. If your student(s) does not reside in Iowa, tuition is the responsibility of the parent/guardian. For additional information, please contact the District Enrollment Office at 563/552-3000.
Primary Household Information
The primary household is the household where the student(s) resides.
Primary Household Address*
Street Address Address Line 2 City ZIP Code

Student Information
Please enter the following information for the student you wish to enroll.
Student 1 Name*
First Last
Student 1 Date of Birth*
Month
Day
Year
Student 1 Grade in 2024-2025 School Year*
Is your student in good standing at the previous school?*
Student Records will be requested from the MOST RECENT school attended. Please enter the following information:
Student 1 Previous School*
School Address*
Street Address City State ZIP Code
School Phone
School Fax
School Email (district records office or registrar)
Release of Third-Party Reports (if applicable)*
I grant permission to the previous school entered above to release any third-party reports relative to the student for whom this enrollment is being submitted.
Parent/Guardian Signature*
By typing my name below, I certify that I am the parent/guardian of the student for whom the third-party reports are requested.
Do you have a second student?*
- Yes
- No

Student 2 Information
Please enter the following information for the second student.
Student 2 Name*
First Last
Student 2 Date of Birth*
Month
Day
Year
Student 2 Grade in 2024-2025 School Year*
Is your student in good standing at the previous school?*
Student Records will be requested from the MOST RECENT school attended. Please enter the following information:
Student 2 Previous School*
School Address*
Street Address City State ZIP Code
School Phone
School Fax
School Email (district records office or registrar)
Release of Third-Party Reports (if applicable)*
I grant permission to the previous school entered above to release any third-party reports relative to the student for whom this enrollment is being submitted.
Parent/Guardian Signature*
By typing my name below, I certify that I am the parent/guardian of the student for whom the third-party reports are requested.
Do you have a third student you wish to enroll?*
- Yes
- No

Student 3 Information
Please enter the following information for the third student.
Student 3 Name*
First Last
Student 3 Date of Birth*
Month
Day
Year
Student 3 Grade in 2024-2025 School Year*
Is your student in good standing at the previous school?*
Student Records will be requested from the MOST RECENT school attended. Please enter the following information:
Student 3 Previous School*
School Address*
Street Address City State ZIP Code
School Phone
School Fax
School Email (district records office or registrar)
Release of Third-Party Reports (if applicable)*
I grant permission to the previous school entered above to release any third-party reports relative to the student for whom this enrollment is being submitted.
Parent/Guardian Signature*
By typing my name below, I certify that I am the parent/guardian of the student for whom the third-party reports are requested.
Do you have a fourth student?*
- Yes
- No

Student 4 Information
Please enter the following information for the fourth student.
Student 4 Name*
First Last
Student 4 Date of Birth*
Month
Day
Year
Student 4 Grade in 2024-2025 School Year*
Is your student in good standing at the previous school?*
Student Records will be requested from the MOST RECENT school attended. Please enter the following information:
Student 4 Previous School*
School Address*
Street Address City State ZIP Code
School Phone
School Fax
School Email (district records office or registrar)
Release of Third-Party Reports (if applicable)*
I grant permission to the previous school entered above to release any third-party reports relative to the student for whom this enrollment is being submitted.
Parent/Guardian Signature*
By typing my name below, I certify that I am the parent/guardian of the student for whom the third-party reports are requested.
Do you have a fifth student?*
- Yes
- No

Student 5 Information
Please enter the following information for the fifth student.
Student 5 Name*
First Last
Student 5 Date of Birth*
Month
Day
Year
Student 5 Grade in 2024-2025 School Year*
Is your student in good standing at the previous school?*
Student Records will be requested from the MOST RECENT school attended. Please enter the following information:
Student 5 Previous School*
School Address*
Street Address City State ZIP Code
School Phone
School Fax
School Email (district records office or registrar)
Release of Third-Party Reports (if applicable)*
I grant permission to the previous school entered above to release any third-party reports relative to the student for whom this enrollment is being submitted.
Parent/Guardian Signature*
By typing my name below, I certify that I am the parent/guardian of the student for whom the third-party reports are requested.

Parent/Guardian Information
Please enter the following information for the parent/guardian completing this form.
Parent/Guardian Name*
First Last
Parent/Guardian Phone*
Parent/Guardian Email*

Primary Household Information