Hello Explorers! We are so excited for next year! This year's registration process looks a little different - Step One is our Formsite School Forms (this one!) and Step Two is the PowerSchool Enrollment Forms. At the conclusion of this form, you will be provided a link with more information to take you to Step Two!

This form should only be completed by the parent/guardian that is legally responsible for the student being enrolled with Phenix City Schools. Failure to provide appropriate information and documentation may cause an enrollment denial or delay. For questions regarding this process of enrollment or necessary documentation, contact the Lakewood Elementary School office at 334-732-1173.

Student First Name *

Student Last Name *

2021-22 Grade Level *

Is your student new or returning to Phenix City Schools for the 2021-22 school year? *

Parent/Guardian First Name *

Parent/Guardian Last Name *

Parent/Guardian Email Address *

At Lakewood, we pride ourselves on communication. Please list additional email addresses you would like to receive communications from our school.

Additional Email Address #1

Additional Email Address #2

Document Uploads

Do you need to upload medical documentation? *

Medical Forms (Medication, Diagnosis, Health Care Plans, etc.)

Do you need to upload guardianship documentation? * 🛈

Legal Guardianship Documentation (Must be signed by a judge within the juvenile court system. Notarized or Power of Attorney letters will not be accepted).

Do you need to update your child's shot record? *

Updated Shot Record

Have you moved in the past year? *

Updated Proof of Residence *

Transportation Information

Please fill out the information below as completely as possible. Teachers will use this sheet to dismiss your student(s) at the end of the school day unless a change of transportation notice is received for your child. During the first few weeks of school, transportation changes need to be made in writing. Bus transportation will only be provided to the address specified in PowerSchool registration. Any changes to Bus Transportation must be made on or before July 16th to the LES office. Any transportation changes after July 16th could result in your child not being transported by Phenix City schools until August 23. As always, if you live outside the PCS district, you are required to provide your own transportation. Thank you for your understanding.

Please note: Choosing After School does not guarantee a spot in Lakewood Elementary's LEAP Program.

I have read and understand that bus transportation changes must be made by July 16, 2021. *

I am interested in participating in Lakewood Elementary's After-School Program (LEAP). Please email me more information. *

1st Day of School - Monday, August 9, 2021
My child will be a: *

8/9 Car Rider - Person Picking Up *

8/9 Daycare - Name of Daycare *

8/9 Daycare Phone Number *

8/9 Bus Rider - Address *

2nd Day of School - Tuesday, August 10, 2021
My child will be a: *

8/10 Car Rider - Person Picking Up *

8/10 Daycare - Name of Daycare *

8/10 Daycare Phone Number *

8/10 Bus Rider - Address *

3rd Day of School - Wednesday, August 11, 2021
My child will be a: *

8/11 Car Rider - Person Picking Up *

8/19 Daycare - Name of Daycare *

8/11 Daycare Phone Number *

8/11 Bus Rider - Address *

Remainder of the 2021-22 School Year
My child will be a: *

Rest of Year Car Rider - Person Picking Up *

Rest of Year Daycare - Name of Daycare *

Rest of Year - Daycare Phone Number *

Rest of Year Bus Rider - Address *

All car riders must be picked up by 3:20 PM each day. There will be NO school check-outs after 2:30 PM each day to allow for us to transition into dismissal procedures. All parents/guardians MUST have a car rider sign for pick up each afternoon. This sign should be placed in the front windshield of the car. A temporary car rider tag will be emailed to you for the first day of school. Please print and place this in the front windshield prior to pick up on August 9th. A permanent car rider tag will be sent with the student on the first day of school.

I have read and understand the policies regarding car riders, check outs, and transportation. The deadline for making bus transportation changes is July 16, 202`. *

Medical Information

In the event of an emergency, or if school officials deem it necessary, your child will be taken by ambulance at the parent's expense to the nearest emergency facility, where the attending physician (or dentist) on duty may perform emergency treatment on your child.

If you have prescription medication that needs to be given to your child during the school day or a medical condition warranting a diet plan, please contact the school at 334-732-1173 to make an appointment during the week before August 9 to bring the medication and appropriate form to the school. You will need to print the medication authorization form and/or the diet prescription form on the PCBOE website and bring it (along with the medication) to the school during your scheduled appointment time.

Please list any health problems and explain (ex: diabetes, asthma, severe allergies, heart problems, seizures, bone/joint problems, or health concerns): *

Please list all medications that your student is currently taking and dosage: *

Agreement

Your electronic signature at the conclusion of this form serves as your verification that all answers and provided documents within this form are valid and accurate. It also serves as your agreement to adhere to the PCBOE's Student Code of Conduct and enter into a partnership role with the school for your student's education. You will receive an electronic copy of your submitted form to the email provided for your records as well.

Please note, your form is not submitted until you get a confirmation page.

Parent/Guardian Signature *

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