Coal City Schools New Student Registration
Welcome to our District!
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To begin the registration process please fill out this one page form. We will use this info to verify your residency.
Student Information
Legal Name from Birth Certificate
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Legal Name:
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First:
Middle:
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Last:
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Date of Birth:
MM/DD/YYYY
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Gender:
Select...
Female
Male
Preferred First Name:
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School:
Select...
Coal City Early Childhood Center
Coal City Elementary School
Coal City High School
Coal City Intermediate School
Coal City Middle School
Out of District
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Previous School:
Enter NONE in all three boxes
if Kindergarten student
School Name:
City:
State:
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Grade Level:
Select...
PK1
K
1
2
3
4
5
6
7
8
9
10
11
12
Select the grade level that represents the first day of this student's enrollment.
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Anticipated Start Date:
Current
Special Programs
IEP
504
ELL
Speech Therapy
Gifted and Talented
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Registration School Year
2024-2025 (Student starting in August, 2024 or later)
2023-2024 (Student Starting in August 2023 or later)
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Country of Birth
United State of America
Mexico
Canada
Other
Must match the birth certificate
Parent/Guardian Information
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First Name:
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Last Name:
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Relationship to Student:
Other Students in Family:
Check this box if other siblings in your family are active students at our schools
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Desired User Name:
Desired User Name for PowerSchool Login
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Email:
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Phone:
999-999-9999 Alternate Phone:
999-999-9999
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Street:
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City:
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State:
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Zip Code:
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Verification:
I verify that the above information is correct
** Required Information