New Student Registration 2024-2025

As part of this New Student Registration process, you will be asked to upload digital versions of the following documents:

_____Original Birth Certificate
_____Proof of Residency (N/A for interdistrict transfer requests)
_____Current Immunization Records
Health Registration Form (Please download and complete this form prior to beginning the registration process.)
_____If your child has a current IEP (receiving Special Ed services) OR has an active 504 Plan (has been assessed and requires documented accommodations)

Please have these documents ready for upload prior to beginning this registration form. NOTE: All pages of any document must be combined into one uploadable file.

If you are unable to provide these documents at this time, please contact your requested school for scheduled dates and times when you may drop off physical copies of these documents. Please note that your child's registration MAY NOT BE CONSIDERED until these documents are received and reviewed by the school site office.

You may be asked at a later time to provide:

Current Health Records (outlined within this Health Services link)

Student Information

Are you registering your child for the 2024-2025 school year (Aug 14th, 2024 - June 6th, 2025)?required

This form is only for the 2024-25 school year. You will not be able to submit this form.

Does your child currently attend a Eureka Union School District school or program?required

In the 23-24 school year, did your child recieve special education preschool services (this includes speech only services) at Maidu School?required

STOP! This form is intended to be used for NEW STUDENTS ONLY, with the exception of matriculating preschoolers. If you have questions, please contact the school site office for assistance.

You have entered an incorrect date. Please verify that it is within the 2024-25 school year date range.

Will this be the first time this student has attended a US school (excluding pre-school)?required

Will this be the first time this student has attended a Public School in the state of California?required

What language other than English has your child spoken?required

Do you live within our district's boundaries?required

Click here to see the School Boundaries by street listing.

You will need to contact your district of residence to complete an Interdistrict Transfer Request as part of the registration process with Eureka Union. For more information, please see our website for details.

An Intradistrict Attendance Application form MUST BE COMPLETED along with this New Student Registration form in order for your child to be considered for enrollment at a school other than their school of residence. This form is accessible on our website under Registration / 2024-25 New Student Registration / IntraDistrict tab. A link will also be provided upon submission of this 2024/25 New Student Registration.

The values for your School of Residence and your Requested school must be different.

Suffix

Your child's birthdate is passed the cut-off for admission into the 2024-25 school year. You will not be able to complete this registration.

Genderrequired

Student's Physical Address

Staterequired

Is the student's mailing address different than physical address?required

Student's Primary Mailing Address

Staterequired

Ethnicity and Race Report

The U.S. Department of Education has issued new guidance on the collection and reporting of race and ethnicity data for public school students and staff. The guidance implements new federal race and ethnicity categories that were developed to obtain a more accurate picture of the nation’s diversity. The new data collection process requires respondents to answer a two-part question, indicating ethnicity first and then primary race with up to 4 additional races, if applicable. (In the past, individuals were allowed to choose only one race or ethnicity category.)

This form is to be filled out by the student’s parents or guardians, and both questions MUST be answered. Part A asks about the student’s ethnicity and Part B asks about the student’s race.

Part A - Ethnicity

Is the student Hispanic / Latino? A person of Cuban, Mexican, Puerto Rican, South or Central American, or other Spanish culture or origin, regardless of race.required

The question above is about ethnicity, not race. No matter which answer you selected above, continue and respond to the next question by selecting from one or more of the dropdowns below to indicate what you consider this student’s race to be.

Part B - Race

What is the student's race?required

If the student is multi-racial, please make up to four more race selections.

Home Language Survey

The California Education Code requires schools to determine the language(s) spoken at home by each student. This information is essential in order to provide meaningful instruction for all students.

1. Which language did your child learn when they first began to talk?required

2. Which language does your child most frequently use at home?required

3. What language do you use most frequently to speak to your child?required

4. Name the language most often spoken by the adults at home?required

Countryrequired

Relationship to Studentrequired

Does this parent/guardian reside at the same address as the student?required

Staterequired

Check if this Parent/Guardian has no email address.

Parent/Guardian Highest Education Levelrequired

Is this parent on active duty with the Armed Forces?

Is this parent full-time National Guard?

Relationship to Studentrequired

Does this parent/guardian reside at the same address as the student?required

Staterequired

Check if this Parent/Guardian has no email address.

Parent/Guardian Highest Education Levelrequired

Is this parent on active duty with the Armed Forces?

Is this parent full-time National Guard?

Electronic Signature

The electronic signature below and its related fields are treated by Eureka Union School District like a physical handwritten signature on a paper form. I affirm that all the information provided is true and correct to the best of my knowledge.

I certify under penalty of perjury that the home address listed above is my true legal residence as parent/guardian of the above-named student. I understand that failure to provide true and correct residential information may result in the disenrollment of the above-named student. It is the parents' responsibility to notify the school of any changes in the information reported on this form.

I Agreerequired

The following email address will be used solely for the purpose of Submission Confirmation.

Check this box if you do not have an email address to receive the submission confirmation.

New Student Registration 2024-2025

Student Information

Student's Physical Address

Student's Primary Mailing Address

Ethnicity and Race Report

Part A - Ethnicity

Part B - Race

Home Language Survey

Place of Birth

Parent/Guardian Information

Parent / Guardian #1

Parent / Guardian #2

Emergency Contact

Contact #1

Additional Information

Previous School

Required Documents

Original Birth Certificate

Proof of Residency

Current Immunization Records

Health Registration Form

IEP or 504 Plan

Electronic Signature

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