School Registration Form

Welcome Center Form

Please fill out the entire form and click on the registration link to schedule an appointment at our Welcome Center.
Hazleton Area School District
Please make sure you have the following documents before filling out this form.
- Parent/Guardian Identification Card (ID)
- Proof of Child(ren)'s age
- Current Immunization Form
- Current Proof of Residence (ex. power, water or gas bill)
- Guardianship Documents (If applicable)
- Prior School Records (If applicable)
Parent/Guardian Name*

First NameLast Name
Please upload a picture of your identification card (ID). (You must be the parent/guardian of the child(ren) you are registering)*

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Email Address*
Phone Number*
Please enter a valid phone number.
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Please upload 1 proof of address below. This proof must be current (within the last three months).

It must be one of the following:
- a Deed/Lease
- Utility Bill or Phone Bill
- Bank Statement/Credit Card Bill
- Current Proof of Residence (ex. power, water or gas bill)
- Guardianship Documents (If applicable)
- Prior School Records (If applicable)
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How many students are you registering?*
Student Name (Nombre del Estudiante)*
Proof of Child’s age for each student you are registering. This can be a birth certificate or passport.*

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Immunization records for each child you are registering.*

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Student Name #2*
Proof of Child’s age for each student you are registering. This can be a birth certificate or passport.*

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Immunization records for each child you are registering.*

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Student Name #3*
Proof of Child’s age for each student you are registering. This can be a birth certificate or passport.*

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Immunization records for each child you are registering.*

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Student Name #4*
Proof of Child’s age for each student you are registering. This can be a birth certificate or passport.*

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Immunization records for each child you are registering.*

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Student Name #5*
Proof of Child’s age for each student you are registering. This can be a birth certificate or passport.*

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Immunization records for each child you are registering.*

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Does your child speak a language other than English? (SI RESPONDISTES "SI" A ESTA PREGUNTA, NECESITARÁ TRAER AL ESTUDIANTE(S) CONTIGO A LA CITA)*

YesNo
Guardianship Documents (If applicable)

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Prior School Records (If applicable)

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Please schedule an in-person appointment to complete the registration process.*
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