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FORT COBB BROXTON SCHOOLS

FORT COBB

BROXTON SCHOOLS BROXTON SCHOOLS

Initial Enrollment Form **For Students PK-1st enrolling for the first time in Oklahoma

This form is only for a child who has never attended public school in Oklahoma grades Pre-K through 1^st only. Please do not fill out this form unless this is your childs first time entering a public school.

IF THERE IS A QUESTION THAT IS NOT APPLICABLE PLEASE TYPE NA DO NOT LEAVE BLANK

Please Fill Out The Initial Enrollment Form **For Students PK-1st enrolling for the first time in Oklahoma Below

The following information should be completed by the parent or guardian of the student. This information is collected on a student�s initial enrollment into a school district.

Student Legal Name:

First:

Last:

Student Gender - Please check one:

Reaquired field: Male

Reaquired field: Female

Did the student participate in any of the following programs? Please indicate by checking YES or NO for each statement.

A childcare program that is licensed pursuant to the tiered licensing system established by the Department of Human Services (a DHS licensed childcare program)

Reaquired field: Yes

Reaquired field: No

The Sooner Start program operated by the State Department of Education

Reaquired field: Yes

Reaquired field: No

The Oklahoma Parents as Teachers (OPAT) program operated by the State Department of Education

Reaquired field: Yes

Reaquired field: No

The Children First program operated by the State Department of Health

Reaquired field: Yes

Reaquired field: No

Any child abuse prevention program operated by the State Department of Health

Reaquired field: Yes

Reaquired field: No

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