Enrollment

New Student Registration

If you are enrolling a new student please complete the following form.

This form is only meant to be the first requirement for registration. After submitting this form, you must contact Marcellus High School/Elementary School to complete the application process.

Marcellus Middle/High School

Student Information
mm/dd/yyyy
Ethnicity  (required)
Does student have a special education IEP or 504 plan?  (required)
Does your child:
Wear prescription glasses?  (required)
Wear a hearing aide?  (required)
Have epileptic seizures?  (required)
Have fainting spells  (required)
Have allergies?  (required)
Help for List Allergies: Enter None if no allergies.
Help for Please list any physical disabilities Please enter
Does the disability interfere with regular school program?  (required)
Do you object to having first aid administered to your child at school?  (required)
Student Physician Information
Help for Physician Name: If no Physician, please enter
Help for Hospital Please enter preferred hospital
Emergency Authorization
Parent or Guardian Information
Does this person live with the student?  (required)
Does this person have permission to receive academic information?  (required)
Parent or Guardian Information
Does this person live with the student?
Does this person have permission to receive academic information?
Security Check - To verify you are not a robot, please answer this question: