RES - Enrollment Data and Proof | Bartlett City Schools

Rivercrest Elementary School

4825 Rivercrest Lane

Bartlett, Tn 38135

901-373-1373

2022-2023 Enrollment Data and Proof

(Please have all needed information, together and ready to upload before starting the application process. THIS FORM WILL NOT ALLOW YOU TO SAVE IN PROGRESS.)

One application per child. Only parent or legal guardian may submit the application.

Student Information:

Uploads needed:

1. Birth Certificate. (Mother's copy not accepted.)
2. Report Card. (Most recent report card for students enrolling 1st - 12th grade.)

Student's Full Name:*

First, Middle and Last Name

Answer Required

Student's Gender:*

Answer Required

Male

Female

Student's Grade Level:*

Grade level the student will be enrolling for the 2022-23 School Year.

Answer Required

Student's Date of Birth:*

Answer Required

Birth Certificate:*

Upload your child's Birth Certificate. (Mother's copy not accepted.)

Answer Required

Choose a file or drag it here.

Upload your child's Report Card:

Most recent Report Card for students enrolling 1st - 12th grade.

Answer Required

Choose a file or drag it here.

Has student ever been enrolled in a Tennessee school?*

Answer Required

Yes

Previous School:*

School Name and City and State. (If student has not attended school before, enter N/A for Not Applicable)

Answer Required

Has student ever been enrolled in Special Education/Resource/504/Gifted program?*

Answer Required

Yes

Does your student have any medical conditions?*

Answer Required

Yes

Is your student currently under expulsion at another school?*

Answer Required

Yes

Parent/Legal Guardian Information:

Uploads needed:

Two (2) Proofs of Residence:

Attachments must be dated within the last 30 days.

(Bartlett Water bill is not accepted.)

1. 1. Lease agreement/mortage statement
  2. MLGW bill
  3. Real estate tax receipt
  4. and/or Public assistance, government benefits check or papers.

Parent/Legal Guardian's Name:*

First, Middle and Last Name

Answer Required

Are you the custodial parent?*

Answer Required

Yes

Parent's Contact #*

901-123-4567

Number Required

Parent's Email Address:*

Answer Required

Street Address*

Answer Required

City*

Answer Required

State*

Answer Required

Zip/Postal*

Answer Required

Upload Two (2) Proofs of Residence:*

Two (2) Proofs of Residence - lease agreement/mortgage statement, MLGW bill, real estate tax receipt, and/or public assistance, government benefits check or papers. (Bartlett Water bill is not accepted.)

Answer Required

Choose a file or drag it here.

Parent/Legal Guardian Agreement:

Parent Understanding:*

Answer Required

I understand I may begin the registration process, but must have all documentation completed and turned in before the student will be officially enrolled.

Parent's Signature:*

By typing my name below, I do solemnly declare that the information, I have given is true and correct to the best of my knowledge and belief.

Answer Required

Please fix the highlighted areas below before submitting.

RES - Enrollment Data and Proof