christian county public schools entry date: student
TRANSCRIPT
1
________________________________________ _____________________________ (Parent/Guardian Signature) (Date)
Christian County Public Schools
Student Enrollment Form
Entry Date:
__/__/___
Demographic Information
Student’s Legal Name _______________________________________________________________________________________ Last First Middle “Nickname”
Address: Street City State Zip
Home Phone: Student Cell Phone (if applicable):
Birthdate: _____/_______/______ Place of Birth (State):______ Place of Birth (Country): ________________ GRADE: ______
Month Day Year
Student Social Security # Sex: Male Female
Student Email Address (if applicable): __________________________________________
Race/Ethnicity:
Is this student from one or more of these races? (Please check all that may apply)
Hispanic/Latino
American Indian or Alaska Native
Asian
African American
Native Hawaiian or Other Pacific Islander
White Other____________________
Last School Attended (for transfer students only)
Name of School: ________________________________________________________ Grade: ______________
Physical Address:
City, State & Zip
Phone Number: _________________________________ Fax Number: ___________________________________
I give permission to request all records from this school. ____________________________________________________
(Parent Signature)
Have you been in a Christian County School before? Yes No Which school and when? ______________________
If not, have you been in a Kentucky school before? Yes No Which district and when? ______________________
Transportation Does this student ride a bus? Yes No If YES: Both ways Only TO school Only FROM school
If you know the Bus Number(s) please list here: A.M. _______________ P.M. _______________
If a car rider, who will pick the student up? ______________________________________________________
Military/Federally Connected
Is parent/guardian
Active duty military
Retired military
Current civilian employee (Example: Fort. Campbell)
Is this
student
military
connected?
Yes
No
Service member name:
Relationship to student:
Branch of Service:
Current
Battalion:
Current Company: Work/duty phone # (for
emergency contact)
Participation in Programs
Please check any special programs in which the student has participated:
Speech/Language Special Education *If yes, please specify disability ____________________________
504 Plan Gifted/Talented Migrant English Second Language Limited English Proficiency
Is child attending on Hardship? Yes No If yes, what is his/her zone school_________________________
FOR OFFICE USE ONLY:
Birth Certificate
Immigrant Status
Immunizations
Eye Exam
Physical
Dental Screen/Exam
Social Security Card
T-code ____________
Homeroom Teacher
_____________________
_
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CHRISTIAN COUNTY BOARD OF EDUCATION
NON-DISCRIMINATION POLICY STATEMENT
As required by federal law, the District does not discriminate on the basis of race, color, or
national origin, sex, genetic information, disability or age in its programs and activities and
provides equal access to its facilities to the Boy Scouts and other designated youth groups.
Notice of the name, work address and telephone number of the Title IX Coordinator and the
Section 504 Coordinator for the district shall be provided to the employees, applicants for
employment, students, parents/guardians, and other beneficiaries such as participants in
activities offered to the public.
Christian County Public Schools Registration Process Survey
Please complete the following survey online about Christian County Public Schools registration process.
You will need a QR Reader app (free) on your phone or tablet to scan the code below:
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Attendance Clerk Copy
SCHOOL USE ONLY Court Order on File: _____ Deny release to: _______________________________________ Homeroom _______________________ Bus Info AM __________ PM __________
EMERGENCY CONTACTS & CHECK-OUT CONSENT
Student Name: ______________________________________________________________ LAST FIRST MIDDLE
Parent/Guardian Emergency Contact Information:
Name _____________________________________________________________
Home _________________ Cell _________________ Work _________________
Name _____________________________________________________________
Home _________________ Cell _________________ Work _________________
Please do not list a non-custodial parent if the courts have denied visitation. The school must
have legal documentation on file to deny a student release to his/her parent.
If parents/guardians cannot be reached in the event of an emergency, the following may be
contacted. A person must be at least 18 years of age to check a student out. Students will not be
released to anyone not on this form.
Name Relationship Work/Home Phone Cell Phone
In addition to the emergency contacts, these individuals may check the student out of school:
Name Relationship Work/Home Phone Cell Phone
PLEASE INFORM ALL PEOPLE LISTED ABOVE PICTURE IDENTIFICATION MUST BE
PROVIDED BEFORE YOUR CHILD WILL BE RELEASED INTO THEIR CUSTODY.
Parent/Guardian Signature: __________________________________ Date: ______________
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School Nurse Copy
Medical Information / Emergency Release
Student Name ___________________________________________________________ Grade ___________
Student Address ____________________________________________________ Phone ________________
City ________________________________________________________ State _______ Zip ____________
Emergency treatment may be administered if I am unable to be reached. Yes _______ No _______
Does your child have any of the following? (Please check yes or no.) *Health Flag Yes No Yes No Yes No
Allergies (Food/Medications) Epilepsy Seizures
Asthma Hearing Problems Sickle Cell
Vision Problems Heart Disease Skin Disorders
Bladder/Bowel Problems Hemophilia Ulcers
Diabetes Migraines Other
If any of the above were checked, please explain any side effects and/or how often this problem occurs, what
type of allergies, etc. _______________________________________________________________________________________________
_______________________________________________________________________________________________
_______________________________________________________________________________________________
PLEASE PRINT
Current medications the student is taking: ______________________________________________________
________________________________________________________________________________________
Local Physician’s Name ______________________________________ Phone No. _____________________
Is the student covered by Kentucky Medical Assistance? (Medical Card) Yes _____ No _____
Medical Card # ______________________________________
If your child takes medication that must be given at school, it is your responsibility to contact the school nurse to obtain
proper forms. No medication will be given if the proper paperwork is not completed. I give permission for my child to
be screened by school personnel for vision, dental, hearing, speech, scoliosis, contagions, and parasites. I also give my
consent for my child to receive services from the District’s nursing staff and to bill Medicaid when appropriate. I have
been provided an opportunity to read and review the HIPAA/FERPA confidentiality regulations located on the back of
this form. In accordance with Kentucky state law, every student must have a current immunization certificate to be
legally enrolled in school. I have read and understand the above information. Any changes in my child’s health
condition will be reported immediately to the school health team.
In case of accident or serious illness, I request the school to contact me. If the school is unable to reach me, I hereby
authorize the school to contact the physician indicated above and to follow his/her instructions. If the physician cannot
be reached, the school may make whatever arrangements are necessary.
Parent/Guardian Name: ________________________________________ PRINT NAME
Parent/Guardian Signature ________________________________________ Date ____________________
Emergency/Daytime Phone Number _________________________________
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Confidentiality of Student Health Records
The Family Educational Rights and Privacy Act (FERPA) is the federal
law that protects the privacy interest and educational records of the
student. FERPA applies to any education agency or institution that
receives funds from the U.S. Department of Education. FERPA governs
all student health records maintained by school employees (including
contracted employees) who provide “school health services”. Health
services are services provided to the student to support their participation
and progress in school. Disclosure to appropriate officials is valid if the
information in the education record is necessary to protect the health or
safety of the student or other individuals. The educational institution or
agency that employs a school nurse is subject to the Health Insurance
Portability and Accountability (HIPAA) regulation if the school nurse or
the school engages in a HIPAA transaction, such as transmitting
electronic billing or submitting claims.
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School Safety Information
KRS 158.155 requires that a parent or guardian of a child who has been adjudicated guilty or previously expelled for
homicide, assault, or violation of state law or school regulations relating to weapons, alcohol or drugs, notify a new
school of that fact by a sworn statement given to the school at the time of registration. In compliance with this
requirement, please check any of the following that apply to this student:
adjudicated guilty
expelled from school (If applicable, please list the name of the school: _____________________________)
disciplined for a violation of state law or school regulation relating to weapons, alcohol, or drugs
The facts are as follows: ____________________________________________________________________
Parent/Guardian Media Release Authorizations
Student Name: _________________________________________________________________________________ (Last Name) (First Name) (Middle)
Please check all that apply.
Media Release
I give my permission to have my child interviewed/photographed/videotaped by the news media which
may result in print, video, or web publication.
I give my permission to have my child interviewed/photographed/videotaped by the school or district
which may result in print, video, or web publication.
I give my permission to have the school or district feature my child’s academic achievements to the
media. This includes, but is not limited to, principal’s list, honor roll and scholarship awards.
If you have more than one student you
are registering in Christian County, is
this the first school you have visited for
registration?
YES
NO
Proceed to
pages 7-10 to
register
household
information.
Skip to page
11 to view the
Technology
Acceptable
Use Policy
Please list the name of the school where the
household information was submitted:
________________________________________
Parent Initials ____________
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Christian County Schools
Household Enrollment Form
Entry Date:
__/__/___
The Household Enrollment Form will be filled out at only the first school enrollment site.
Students in Same Household Attending School (Ages 3 and Above)
1st Student’s LEGAL Name: FIRST MIDDLE LAST
Social Security # Student Nickname ___________________________
Date of Birth Grade School
2nd Student’s LEGAL Name: FIRST MIDDLE LAST
Social Security # Student Nickname ___________________________
Date of Birth Grade School
3rd Student’s LEGAL Name: FIRST MIDDLE LAST
Social Security # Student Nickname ___________________________
Date of Birth Grade School
4th Student’s LEGAL Name: FIRST MIDDLE LAST
Social Security # Student Nickname ___________________________
Date of Birth Grade School
5th Student’s LEGAL Name: FIRST MIDDLE LAST
Social Security # Student Nickname ___________________________
Date of Birth Grade School
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Christian County Schools
Household Enrollment Form Continued
Please continue to page 9 if this page is not needed.
Students in Same Household Attending School (Ages 3 and Above)
6th Student’s LEGAL Name: FIRST MIDDLE LAST
Social Security # Student Nickname ___________________________
Date of Birth Grade School
7th Student’s LEGAL Name: FIRST MIDDLE LAST
Social Security # Student Nickname ___________________________
Date of Birth Grade School
8th Student’s LEGAL Name: FIRST MIDDLE LAST
Social Security # Student Nickname ___________________________
Date of Birth Grade School
9th Student’s LEGAL Name: FIRST MIDDLE LAST
Social Security # Student Nickname ___________________________
Date of Birth Grade School
10th Student’s LEGAL Name: FIRST MIDDLE LAST
Social Security # Student Nickname ___________________________
Date of Birth Grade School
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Primary Household (This is the address where the student(s) actually reside.) Physical Address STREET APT/LOT
CITY STATE ZIP
Mailing Address (if different) P.O. BOX (OR OTHER MAILING ADDRESS)
CITY STATE ZIP
(Check if Unlisted) Home Phone
Parent or Guardian 1 (This is the primary parent/guardian for the student(s) listed on previous page.)
Name FIRST MIDDLE LAST
Date of Birth Last four digits of Social Security # XXX-XX-______________
Employer Work Phone
Email Address Cell Phone
Parent (Mother/Father) Legal Guardian (by court) Stepparent Foster Parent Other (specify)
Parent or Guardian 2 (This is either the second parent/guardian or a step-parent living in the household.)
Name FIRST MIDDLE LAST
Date of Birth Last four digits of Social Security # XXX-XX-______________
Employer Work Phone
Email Address Cell Phone
Parent (Mother/Father) Legal Guardian (by court) Stepparent Foster Parent Other (specify)
Secondary Household (This section should be completed if both parents do not live in the Primary Household.) Physical Address STREET APT/LOT
CITY STATE ZIP
Mailing Address (if different) P.O. BOX (OR OTHER MAILING ADDRESS)
CITY STATE ZIP
(Check if Unlisted) Home Phone
Parent or Guardian 3 (This will generally be a parent who does NOT live in the Primary Household with the student.)
Name FIRST MIDDLE LAST
Date of Birth Last four digits of Social Security # XXX-XX-____________
Employer Work Phone
Email Address Cell Phone
Parent (Mother/Father) Legal Guardian (by court) Stepparent Foster Parent Other (specify)
Parent or Guardian 4 (This will generally be the individual living with a parent in a Secondary Household.)
Name FIRST MIDDLE LAST
Date of Birth Last four digits of Social Security # XXX-XX-___________
Employer Work Phone
Email Address Cell Phone
Parent (Mother/Father) Legal Guardian (by court) Stepparent Foster Parent Other (specify)
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School: ________________________________ Family Resource Copy
McKinney-Vento RESIDENTIAL SURVEY
Completion Required/Mandatory ************************************************************************************************** Please complete the following form to see if your child qualifies for Project SHOW, a student service program in the Christian
County Public School. If the student meets one or more of the following housing requirements (due to loss of housing,
economic hardship, or a similar reason) they may be eligible for this program:
Do you live in: Please circle YES or NO
1. Emergency runaway shelter Yes No
2. Motel/Hotel (not vacation) Yes No
3. Public/Private nighttime shelter (Salvation Army) Yes No
4. Special Care Facility Yes No
5. Spouse Abuse Center (Sanctuary House) Yes No
6. Uninhabitable Places (car, bus, old building, etc.) Yes No
7. Friends or Relatives home Yes No
If yes to # 7: With whom are you living?
Relationship of person you are living with?
8. Temporary placed in Foster Care Yes No
9. Unaccompanied Youth - not in custody of parent Yes No
IF YOU ANSWERED YES TO ANY OF THE ABOVE, PLEASE COMPLETE THE SECTION BELOW, IF ALL
NO’S THEN PROCEED TO BOTTOM SIGNATURE LINE (REQUIRED):
How many FAMILIES are living in your place of residence? _________________
REQUIRED INFORMATION:
Name of parent(s) or guardian(s):__________________________________________________________________________
Address______________________________________________________________________________________________
Phone Number (s): Home:_______________________Work:______________________Cell:________________________
Please note: We must have a phone contact number to reach you.
Please complete the following on ALL children living in the HOME:
Name of Student(s) living in the home: Student’s Date
of Birth:
Name of School Attending,
if not attending school N/A
Grade
Level
Please sign below and return this form to the Family Resource Youth Service Center at your child’s school.
_____________________________________________ ______________________________
Parent or Guardian Signature (REQUIRED) Date
THIS INFORMATION WILL BE KEPT CONFIDENTIAL
Project SHOW, August 2015
FOR FAMILY RESOURCE (FRYSC) USE ONLY
Copy sent to: Liaison Elementary School Middle School High School
Notified: Director of Food Services Infinite Campus marked Needs Assessment Completed
Other: ____________________________
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School Technology Assistant (STA’s) Copy
Technology Acceptable Use Policy
Parent and Student Permission Letter
Christian County Public Schools
We are pleased to offer students of the Christian County Schools access to the district computer network and technology resources. To gain access
to any technology resources, students must obtain parental or legal guardian permission, which must be signed and returned to the school.
Access to technology resources, e-mail, and the Internet will enable students to explore thousands of libraries, databases, and bulletin boards
while exchanging messages with Internet users throughout the world. Families should be warned that some material accessible via the Internet
might contain items that are illegal, defamatory, inaccurate or potentially offensive to some people. While our intent is to make Internet access
available to further educational goals and objectives, students may find ways to access other materials as well. We believe that the benefits to
students from access to the Internet, in the form of information resources and opportunities for collaboration, exceed any disadvantages. But
ultimately, parents and guardians of minors are responsible for setting and conveying the standards that their children should follow when
using media and information sources. To that end, the Christian County Public Schools support and respect each family’s right to decide
whether or not to apply for access.
District Network Rules
Students are responsible for good behavior on school computer networks just as they are in a classroom or a school hallway. Communications on
the network are often public in nature. General school rules for behavior and communications apply.
The network is provided for students to conduct research and communicate with others. Access to network services is given to students who agree
to act in a considerate and responsible manner. Access is a privilege--not a right. Access entails responsibility.
Individual users of the district computer networks are responsible for their behavior and communications over those networks. It is presumed
that users will comply with district standards and will honor the agreements they have signed. Beyond the clarification of such standards, the
district is not responsible for restricting, monitoring, or controlling the communications of individuals utilizing the network.
Network storage areas may be treated like school lockers. Network administrators may review files and communications to maintain system
integrity and insure that users are using the system responsibly. Users should not expect that files stored on district servers, school servers, and
or workstations will always be private.
Within reason, freedom of speech and access to information will be honored. During school, classroom teachers will guide them toward appropriate
materials. Outside of school, families bear the same responsibility for such guidance as they exercise with information sources such as television,
telephones, movies, radio and other potentially offensive media.
As outlined in board policies and procedures on Curriculum and Instruction and Telecommunication Devices ( 08.2323 & 09.4261/copies of which
are available in school offices), students will NOT:
Attempt to damage/alter/remove hardware/software/network files/computer systems or networks;
Attempt to access another’s folders, work, or files;
Attempt to gain unauthorized access to technology resources or waste technology resources;
Copy/distribute software owned/licensed to any facility of the Christian County Board of Education;
Attempt to transmit or receive materials in violation of federal or state laws or regulations pertaining to copyrighted, threatening or
obscene language or materials, including sexually explicit materials;
Attempt to violate confidentiality or privacy of another individual(This includes, but is not limited to, taking photographs, video, or audio
recordings of others without the permission of the Principal/designee and the affected individual(s);
Attempt to use CCBOE network for personal or commercial activities, product promotion, political lobbying, or illegal activities;
Attempt to use unauthorized games, interactive messaging, or internet-based email accounts;
Attempt to use unauthorized software products or Internet resources, which affect computer/network performance.
Attempt to use any "hacking tools" that can be used for "computer hacking", as defined in the Kentucky Computer Crime Law, may not be
possessed on school property, on any District premise, or run or loaded on any District system.
Remove Assets Tags or name plates from technology equipment.
VIOLATIONS MAY RESULT IN A LOSS OF ACCESS AS WELL AS OTHER DISCIPLINARY AND/OR LEGAL ACTION:
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Electronic Access/User Agreement Form
As a user of the Christian County School District’s computer network, I hereby agree to comply with the District’s Internet and
electronic mail rules and to communicate over the network in a responsible manner while abiding by all relevant laws and
restrictions. I further understand that violation of the regulations is unethical and may constitute a criminal offense. Should I
commit any violation, my access privileges may be revoked and school disciplinary action and/or legal action may be taken.
User’s Name (Please print)
User’s Signature Date
PRIOR TO THE STUDENT’S BEING GRANTED INDEPENDENT ACCESS PRIVILEGES, THE
FOLLOWING SECTION MUST BE COMPLETED FOR STUDENTS UNDER 18 YEARS OF AGE:
NOTE: FEDERAL LAW REQUIRES THE DISTRICT TO MONITOR ONLINE ACTIVITIES OF MINORS.
CHRISTIAN COUNTY PUBLIC SCHOOLS ARE EDUCATING MINORS ABOUT APPROPRIATE ONLINE BEHAVIOR, INCLUDING
INTERACTING WITH OTHER INDIVIDUALS ON SOCIAL NETWORKING WEBSITES AND IN CHAT ROOMS AND CYBERBULLYING
AWARENESS AND RESPONSE.
As the parent or legal guardian of the student (under 18) signing above, I grant permission for my child to access networked computer services such as electronic mail and the Internet. I understand that this access is designed for educational purposes; however, I also
recognize that some materials on the Internet may be objectionable, and I accept responsibility for guidance of Internet use by setting
and conveying standards for my child to follow when selecting, sharing, researching, or exploring electronic information and media.
Consent for Use
By signing this form, you hereby accept and agree that your child’s rights to use the electronic resources provided by the District
and/or the Kentucky Department of Education (KDE) are subject to the terms and conditions set forth in District policy/procedure.
Please also be advised that data stored in relation to such services is managed by the District pursuant to policy 08.2323 and
accompanying procedures. You also understand that the e-mail address provided to your child can also be used to access other
electronic services or technologies that may or may not be sponsored by the District, which provide features such as online storage,
online communications and collaborations, and instant messaging. Use of those services is subject to either standard consumer terms
of use or a standard consent model. Data stored in those systems, where applicable, may be managed pursuant to the agreement
between KDE and designated service providers or between the end user and the service provider. Before your child can use online
services, he/she must accept the service agreement and, in certain cases, obtain your consent.
Name of Parent/Guardian (Please print)
Signature of Parent/Guardian Date
Daytime Phone Number: Evening Phone Number:______________
User’s Name
Last Name First Name
User’s Address
_
City
Date of Birth
_
Middle Initial
_ State Zip Code
User’s Age
If applicable, User’s Grade
Sex Phone Number School
Homeroom/Classroom
Parent/Guardian Requests NO EMAIL ACCESS for STUDENT: (CHECK ONLY IF NO EMAIL IS
REQUESTED)
Student Name___________________________ Parent Signature__________________________________
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Christian County Public Schools
HOME LANGUAGE SURVEY Student Name: ____________________________________________ Birth Date: ___________________ Sex: ❏ Male ❏ Female
Parent/Guardian Name: ________________________________________________________________________________________ Address: ____________________________________________________________________________________________________ Home Telephone: __________________________________________ Work Telephone: ____________________________________ School: __________________________________________________ Grade: ______________________ Date: ________________
1. Was your child born in the United States? ❏ Yes ❏ No
If yes, in which state? ___________________________________
If no, in what other country? ___________________________________
2. Has your child attended any school in the United States
for any three years during their lifetime? ❏ Yes ❏ No
If yes, please provide school name(s), state, and dates attended:
Name of School ____________________________________________ State ________ Dates Attended ________________
Name of School ____________________________________________ State ________ Dates Attended ________________
Name of School ____________________________________________ State ________ Dates Attended ________________
3. What language is spoken by you and your family most of the time at home? ___________________________________
4. If available, in what language would you prefer to receive communication from the school? ___________________________________
5. Please check if your child is:
A. ❏ Native American Indian C. ❏ Native Pacific Islander
B. ❏ Alaska Native D. ❏ Native U.S. Virgin Islander
6. Is your child’s first-learned or home language anything other than English? ❏ Yes ❏ No
If you responded “Yes” to question number 6 above, please answer the following questions:
7. What language did your child learn when he/she first began to talk? ___________________________________
8. What language does your child most frequently speak at home? ___________________________________
9. What language do you most frequently speak to your child? (Father) ___________________________________
(Mother) ___________________________________
10. Please describe the language understood by your child. (Check only one)
A. ❏ Understands only the home language and no English.
B. ❏ Understands mostly the home language and some English.
C. ❏ Understands the home language and English equally.
D. ❏ Understands mostly English and some of the home language.
E. ❏ Understands only English.
______________________________________________ ___________________________________ Parent or Guardian's Signature Date
Office Use Only
Student ID # Date Distributed Date Received
00NCLB-B1a (Rev. 05/08 US) © 2008 TransACT Communications, Inc.
381476
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Christian County Public Schools
Parent Portal Request
SECTION ONE
Parent/Legal Guardian Name: ________________________________ Phone: ___________________
Home address: ____________________________________________ Date: ____________________
*In order to be provided a parent portal account, you must be a legal guardian of the student(s)
If legal guardian has been verified, the school may proceed to Section Two.
SECTION TWO - SCHOOL 1. School will provide a ‘Person Summary Report’ or ‘Demographics Page’ from Infinite Campus
2. School will highlight the GUID number (This is a 32 character activation key).
3. Provide a computer with Internet access to complete Section Three.
4. School ensures parent has been given access to the student’s portal account in Infinite Campus.
School retains this section and uses it to input information into Infinite Campus.
------------------------------------------------------------------------------------------
----- Parent retains Section Three
SECTION THREE – PARENT Please follow these steps:
1. Visit: www.christian.kyschools.us. Under the “Parents and Students” heading, click “Infinite Campus Student/Parent
Login” for access.
2. Select the “HELP” icon and click “If You Have Been Assigned a Campus Portal Activation Key, Click Here.” (This is
the 32 character activation key highlighted on the form).
3. The “Click Here” link will display an activation screen. Enter the 32 character activation key provided.
4. Click the “Submit” button. The activation key will be verified. When approved, a screen will be displayed to create
the username and password.
5. Enter a user name. It must be 8 characters and one character must be a number. It is case sensitive.
6. Enter a password. It must be 8 characters and one character must be a number. It is case sensitive.
7. Enter the password a second time in the “Verify Password” field.
8. Click the “Create Account” button. This will create the user name and password. Upon approval, the portal account
will be created. Use the “Click Here” link on the account creation page to enter the username and password to access
the portal information.
9. After the activation key has been used to create a parent portal account, it will no longer be valid. Users will need to
log into the Parent Portal using their unique username and password.
10. Store your username and password in a secure and private location.
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CHRISTIAN COUNTY PUBLIC SCHOOLS
Parent/Guardian Checklist & Signature Page
SIGNATURE:
I verify the information supplied is correct and current.
I will inform the school of any changes in this information.
I authorize any school personnel to take reasonable emergency measures on behalf of my child and
agree to hold them harmless for any treatment rendered.
I have authorized appropriate permission on page 6.
Parent/Guardian Signature ___________________________________ Date: ____________________
ENROLLMENT CHECKLIST:
Student Registration form is complete (pages 1-6).
Household Registration form has been completed either at this school or at another school
(this section is completed once at the first enrollment site for the entire household on pages 7-10).
I have completed the Records Transfer (page 1 under Last School Attended Section) to allow the
new school may request educational records for my child (if applicable).
I have completed an Electronic Access/User Agreement form (page 12).
have completed the Household and Income form.
have completed the Infinite Campus Parent Portal Request form.
For initial entry into Christian County Public Schools (first time enrollees only):
I have supplied a Certified Birth Certificate.
I have supplied (for photocopy) the student’s Social Security Card.
I have supplied a Kentucky Eye Exam by an ophthalmologist or optometrist
(For initial entry into a Kentucky School ages 3-6).
I have supplied the dental screening or examination form
(For initial entry into a Kentucky School ages 5-6).
I have supplied a current Kentucky Immunization Certificate.
I have supplied a copy of a recent Preventative Health Care Examination form.
I have completed a Home Language Survey form (For initial entry only).
I have completed an Employment/Agricultural Survey form (For initial entry only).