You must have JavaScript enabled to use this form. Current Reenrollment Form DC Seat Documents Contacts and Demographics Laptop Agreement Media Release HPV Opt Out Complete 1 of 7 Reenrollment Form Student Name First Middle Last Suffix Date of Birth PARENT/GUARDIAN INFORMATION: This should be the person completing this form and confirming residency. Parent/Guardian Name First Last What is your relation to the student? What is your relation to the student? - Select -MotherFatherGrandmotherGrandfatherAuntUncleSiblingBrotherFoster ParentCourt SystemStepparentOther… Enter other… Address Address Address 2 City/Town State - Select -AlabamaAlaskaAmerican SamoaArizonaArkansasArmed Forces (Canada, Europe, Africa, or Middle East)Armed Forces AmericasArmed Forces PacificCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFederated States of MicronesiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarshall IslandsMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPalauPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirgin IslandsVirginiaWashingtonWest VirginiaWisconsinWyomingAlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland and LabradorNova ScotiaNorthwest TerritoriesNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukon ZIP Parent/Guardian Email Parent/Guardian Phone Number Parent/Guardian Signature Sign above Print Name. Date Leave this field blank
