Important - Re-Enrollment Student Forms

	Title
	Authorization for Medication Form (Fillable)	Download
	Cell Phone Classroom Contract (Fillable)	Download
	Earthquake/Disaster Release Authorization Form (Fillable)	Download
	Family Contact Release Form (Fillable)	Download
	Field Trip Form (Fillable)	Download
	Internet Use Agreement (Fillable)	Download
	Library Rules (Fillable)	Download
	Media Release Form (Fillable)	Download
	Oral Health Form (Fillable)	Download
	Parent - Student Handbook	Download
	Parents Rights	Download
	Personal Vehicle Drivers Form	Download
	Readmission to School After an Injury (Fillable)	Download
	Student Acceptable Use Policy (Fillable)	Download
	Student Health Record (Fillable)	Download

Please click the links below to access the necessary forms for

First Time Incoming students.

NOTE: District of Choice Applications can be found under the

District tab using the drop down and clicking on District of Choice

Required Documents for first time enrollment at Santa Clara Elementary

All documents listed are required, you will not be able to enroll your child/ren without them.

Birth Certificate (original)

Proof of Residency (Current utility bill: Gas, Water or Electric dated within 30 days of enrollment - NEEDED ONLY if claiming to live within district boundries)

Kindergarten Physical (if enrolling for Kindergarten) form must be dated on or after February 5th of the enrolling year.

Physical/Immunization Form (Fillable)

Proof of Immunizations

Requirements

Parent/Student Handbook (Fillable)

Authorization for Medication form (Fillable)

Oral Health Record

Nondiscrimination Statement

The Santa Clara Elementary School District prohibits discrimination, harassment, intimidation, bullying and sexual harassment based on actual or perceived ancestry, age, color, disability, gender, gender identity, gender expression, nationality, immigration status, marital status, parental status, family status, pregnancy status, race or ethnicity, religion, sex, sexual orientation, or association with a person or a group with one or more of these actual or perceived characteristics in all educational programs, school related or school sponsored activities, school attendance or employment policies which may have an impact or create a hostile environment at school as required by Title IX of the 1972 Education amendments, Section 504 of the Rehabilitation Act of 1973, the Americans with Disabilities Act, the California Fair Employment and Housing Act, and other applicable laws and regulations. For questions or concerns regarding discrimination, harassment, intimidation, bullying or sexual harassment, please contact the District's Discrimination, Equity, and Title IX Compliance Officer:

Kari Skidmore,

Superintendent/Principal/Teacher,

20030 East Telegraph Road

Santa Paula, CA 93060

kskidmore@santaclaraesd.org