This is the 2024-2025 NEW STUDENT pre-registration form. Please contact Tassie Pitman at (307) 655-9541 with any questions.

Part 1. Ethnicity

Part 2. Race

The question above is about ethnicity, not race. No matter what you selected above, please answer the following to choose one or more races to indicate what you consider your student’s race to be.

Choose one or more

• American Indian or Alaska Native: A person having origins in any of the original peoples of North and South America, including Central America, and who maintains tribal affiliation or community attachment.
• Asian: A person having origins in any of the original peoples of the Far East, Southeast Asia, or the Indian subcontinent including, for example, Cambodia, China, India, Japan, Korea, Malaysia, Pakistan, the Philippine Islands, Thailand, and Vietnam.
• Black or African-American: A person having origins in any of the black racial groups of Africa.
• Native Hawaiian or Other Pacific Islander: A person having origins in any of the original peoples of Hawaii, Guam, Samoa, or other Pacific Islands.
• White: A person having origins in any of the original peoples of Europe, the Middle East, or North Africa.

Address was verified.

Address could not be verified.

Address shows to be outside the district or has no zoned school.

Request is being made on behalf of this student to attend Sheridan County School District 1 as an out-of-district student for the 2024-25 school year.

• I agree to contact the school office to schedule a meeting with the building principal in order to review this request for attendance.
• I agree to present the following items to the building principal for consideration:

• • Transcripts (Report Cards)/Attendance Records
  • Discipline Records from previous school
  • Any special needs request (i.e. special education)

• I understand that completing this registration process does not mean the student is accepted by the District as an out-of-district student.
• I understand that the building principal will notify you as to whether or not this student is accepted as an out-of-district student for the 2024-25 school year.

Please provide the name of the school your child currently/previously attended.

Please provide the name of the school your child currently/previously attended.

The purpose of this section is to accurately determine the principal native language of each of the students in Sheridan County School District #1. Federal guidelines require that all school districts be aware of languages other than English used by each student or family.

Pictures of Unnamed Students. Students may occasionally appear in photographs and videotapes taken by school staff members, other students, or other individuals authorized by the Building Principal. The school may use these pictures, without identifying the student, in various publications, including the school yearbook, school newspaper, school website, and social media. No consent or notice is needed or will be given before the school uses pictures of unnamed students taken while they are at school or a school-related activity.

Pictures of Named Students.Many times, however, the school will want to identify a student in a school picture. School officials want to acknowledge those students who participate in a school activity or deserve special recognition.

In order for the school to publish a picture with a student identified by name, one of the student’s parents or guardians must sign a consent form. Please sign this form to allow the school to publish and otherwise use photographs and videotapes, with your child or ward identified, while he or she is enrolled in this school district.

Pictures of Students Taken by Non-School Agencies. While the school limits access to school buildings by outside photographers, it has no control over news media or other entities that may publish a picture of a named or unnamed student. School staff members will not, however, identify a student for an outside photographer.

Click here to review the CSVA handbook

Student Acknowledgment

I understand that for each online course, there are a minimum number of assignments that must be completed. Failure to submit the minimum number of assignments may result in my removal from the CSVA and may result in a failing grade being reported on my academic transcript.

I also acknowledge that I will follow all policies and procedures outlined in the CSVA Student and Parent Handbook and Sheridan County School District #1 District Policy.

Parent/Guardian/Learning Coach Acknowledgment

I acknowledge that my child DOES NOT have a Section 504, IEP, or other documented disability which is related to the ability to enjoy the benefits of CSVA’s programs or services.

OR

I acknowledge that my child DOES have a Section 504, IEP, or other documented disability which may be related to the ability to enjoy the benefits of CSVA’s programs or services.

AND

I acknowledge that I must coordinate with the CSVA staff when the performance of my son/daughter in a CSVA course needs to be addressed. I have reviewed the CSVA Parent & Student Handbook and understand my responsibilities as the Learning Coach are vital to the success of my student. I will fulfill my responsibilities listed throughout the Handbook and specifically the Agreement Statements found on pages 7-8. I will ensure my student makes the required academic progress in his/her CSVA coursework each week. And I will ensure my student participates in required state testing (WY-TOPP or ACT).

The electronic signature below and its related fields are treated by Sheridan County School District 1 like a handwritten signature on a paper form.

I declare that all information provided on this online form is true, complete and accurate.