Returning Student(s) Annual Update

Please Log In To Access Your Students Data

...loading Student Data

YOU MUST BE LOGGED IN AN AUTHORIZED AND APPROVED EMSD WEBSITE ACCOUNT TO ACCESS ANY PART OF STUDENT DATA

If you need any assistance on the re-enrollment form, or are unable to make a correction to your student's data, please contact the WEBMASTERS.

Some documents (i.e., Residency, Birth Certificate, etc.) MAY be required to be uploaded to complete your student's registration. Please Note: The default document type for all uploaded documents is .pdf. This is currently the only accepted document. For assistance converting .jpg to .pdf - please click HERE or .png to .pdf - please click HERE.

REGISTRATION FORM DISCLAIMER: While every attempt was made to make this form accessible amongst all device platforms, to receive best website performances, please use a desktop or laptop-type device to complete registration.

Some form functionality made be reduced on mobile devices.

All information, including documents attached/uploaded, are security encrypted and protected by a SSL Certificate issued to emsdbears.us.
Security is enforced by R3 - Let's Encrypt, US and Wix Security.

Student Re-Enrollment Form

Photo May Not Be Available

First Name

Middle Name

Last Name

Photo May Not Be Current

Date of Birth

Date of Birth CANNOT be changed. Please contact the WEBMASTER at web.support@emsdbears.us

Place of Birth

Physical Address

City

Zip Code

Mailing Address

City

Mailing Zip

Home Phone

Mobile/Cell Phone (Student)

Student Email

Proof of Residency - ON FILE?

Residency Uploaded File

Please Up. Residency Document

File Can Not Be Changed, Please contact an administrator at web.support@emsdbears.us

Upload File (.pdf)

CUSTODY? - Mother (Biological) / Legal Guardian

CUSTODY? - Father (Biological) / Legal Guardian

CUSTODY? - Stepmother

CUSTODY? - Stepfather

Mother / Legal Guardian - Name

Mother Email

Mother Phone

Mother Employer Name

Employer Phone

Father / Legal Guardian - Name

Father Email

Father Phone

Father Employer Name

Employer Phone

Stepmother - Name

Stepmother Email

Stepmother Phone

Stepmother Employer Name

Employer Phone

Stepfather - Name

Stepfather Email

Stepfather Phone

Stepfather Employer Name

Employer Phone

Legal Documents - ON FILE?

Legal Documents Uploaded File

Please Upload Legal Documents

File Can Not Be Changed, Please contact an administrator at web.support@emsdbears.us

Upload File (.pdf)

1st Emergency Contact

Phone Number

Relationship

2nd Emergency Contact

Phone Number

Relationship

3rd Emergency Contact

Phone Number

Relationship

Additional Information

Family Doctor/Physician

Doctor's Phone

Family Dentist

Dentist's Phone

Preferred Hospital

Hospital's Phone

List all daily or rountine medications, including name, dosage and time. For ANY prescriptions, please provide annual/current doctor's orders.

List any health conditions such as Heart Disease, Diabetes, Asthma, Epilepsy, Allergies or Chronic Conditions. Please provide current medical documentation.

Medical Documents - ON FILE?

Medical Document Uploaded File

Please Up. Medical Documents

File Can Not Be Changed, Please contact an administrator at web.support@emsdbears.us

Upload File (.pdf)

Any Physical Limitation? (Please list)

Any Recent Accidents/Injuries Or Surgeries? (Please list)

Please List Any Other Situations Below In Which You Wish To Be Contacted.

Transportation Directions

Language, First

Langauge, Primary

Language, Parent

Tribe Name (if applicable)

CIB / 506 Form - ON FILE?

CIB / 506 Form

Please Up. CIB / 506 Documents

File Can Not Be Changed, Please contact an administrator at web.support@emsdbears.us

Upload File (.pdf)

1st Sibling Name

Date of Birth

2nd Sibling Name

Date of Birth

3rd Sibling Name

Date of Birth

4th Sibling Name

Date of Birth

5th Sibling Name

Date of Birth

Birth Certificate - ON FILE?

Birth Certificate Uploaded File

Please Upload Birth Certificate

File Can Not Be Changed, Please contact an administrator at web.support@emsdbears.us

Upload File (.pdf)

Immunization Record - ON FILE?

Please Up. Immunization Records

File Can Not Be Changed, Please contact an administrator at web.support@emsdbears.us

Immunization Record Uploaded File

Upload File (.pdf)

Access 2023/2024 Registration Forms

I have read, "From The Nurse's Office" letter.View "From the Nurse's Office" Letter.

I have read, "Student Dental Examination Verification Form" and will confirm or request a waiver on the following question.View "Student Dental Examination Verification Form".

Dental Examination Verification Response

I Confirm Dental Examination

I Request A Waiver

I have read, "Estancia Municipal School District Handbook - Sign Off Sheet" and will deny or confirm need for following question.View "Estancia Municipal School District Handbook - Sign Off Sheet".

Do you need a print copy of the Estancia Municipal School District Student Handbook? A link to view your Student's Handbooks will be provided in your confirmaion email.

Yes

Permission to Share Students' Directory Information, when Requested.

Yes

I have read, "Permission to Email School Documents" and will grant or deny my permission on the following question.View "Permission to Email School Documents".

Permission to "Email School Documents".

Yes

I have read, "Estancia Municipal School District, School Attendance for Success Act" letter.View "Estancia Municipal School District, School Attendance for Success Act.

I have read, "Google Workspace for Education" and will grant or deny my permission on the following question.View "Google Workspace for Education".

Permission for "Google Workspace for Education".

Yes

I have read, "Adobe for Education" and will grant or deny my permission on the following question.View "Adobe for Education".

Permission for "Adobe for Education".

Yes

I have read, "Estancia Municipal School District - Educational Activities - Waiver and Consent" letter and will grant or deny my permission on the following options/questions.View "Estancia Municipal School District - Education Activities - Waiver and Consent".

Permissions for Education Activities. Please refer to the "Estancia Municipal School District - Education Activities - Wavier and Consent" letter.

I have read, "In-Town/Walking Field Trip Permission and Emergency Medical Release Form" and will grant or deny my permission on the following question.View "In-Town/Walking Field Trip Permission and Emergency Medical Release Form".

Permission for "In-Town/Walking Field Trip Permission and Emergency Medical Release Form".

Yes

I have read, "Permission to Walk Home Alone Form" and will grant or deny my permission on the following question. For student's with Bus Transportation, this question does not apply, please select "No" below in your required response.View "Permission To Walk Home Alone Form".

Permission for "Walk Home Alone".

Yes

I have read, and accept the District's "Acceptable Use Agreement"?View "Acceptable Use Agreement".

I agree to accept the use of PowerSchool. I acknowledge that PowerSchool (P/S) provides me, as a Parent/Guardian, access to my student's grades and attendance.More Information About PowerSchool.

Access Signature & Registration Confirmation

I have completed my student's application and registration packet, for enrollment within Estancia Municipal Schools, to the best of my abilities and current knowledge. By selecting this box, I am acknowledging that I am ready to sign and submit the registration packet.

Current Email Address On File

PLEASE CONFIRM/ENTER A VALID EMAIL ADDRESS FOR CONFIRMATION LETTER

PRINT YOUR FULL NAME

Today's Date

Your Signature (Parent/Guardian)

I want to subscribe to the District's Online Newsletter. You may opt out of these subscriptions at any time.View District News.

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registration to be sent.

Please do not click back button or refresh, a confirmation message will appear when

registration is completed.

Your Child's Registration Application Packet has been submitted. Please check your email for more information. This form will reset shortly. Thank you!

Returning Student(s) Annual Update

Please Log In To Access Your Students Data

...loading Student Data

YOU MUST BE LOGGED IN AN AUTHORIZED AND APPROVED EMSD WEBSITE ACCOUNT TO ACCESS ANY PART OF STUDENT DATA

All information, including documents attached/uploaded, are security encrypted and protected by a SSL Certificate issued to emsdbears.us. Security is enforced by R3 - Let's Encrypt, US and Wix Security.

Student Re-Enrollment Form

All information, including documents attached/uploaded, are security encrypted and protected by a SSL Certificate issued to emsdbears.us.
Security is enforced by R3 - Let's Encrypt, US and Wix Security.