New Student | Estancia Schools

Welcome to the Estancia Municipal School District

Online Registration Portal

This Portal is for NEW or PREVIOUSLY ENROLLED students.

If your student is currently enrolled as a student at EMSD, and you are registering for the upcoming school year, please click HERE.

Please Note: You can only register students for the upcoming school year when the enrollment period begins.

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.

Student Registration "New" - Online

All fields denoted with * ARE REQUIRED for your registration to be complete.

Student - Last Name

Student - First Name

Student - Middle Name

Student's Birthdate

Student's Place of Birth

Physical Address

City

Zip Code

Mailing Address

City

Zip Code

Home Phone

Upload Proof of Residency

Upload File

Student Email Address

Student Mobile/Cell Phone

My student has previous school information that I, (Parent/Guardian), need to enter.

Previous School Attended

Previous School Address

Previous School Phone

Previous School Withdrawal Date

I give Estancia Municipal School District authorization to request records from previous school(s) attended for my student.View Records Request Form.

CUSTODY? - Mother (Biological) / Legal Guardian

CUSTODY? - Stepmother

CUSTODY? - Father (Biological) / Legal Guardian

CUSTODY? - Stepfather

Mother/Legal Guardian Name

Mother Email

Mother Phone

Mother/Legal Guardian Employer Name

Employer Phone

Father/Legal Guardian Name

Father Email

Father Phone

Father/Legal Guardian 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

Are There Any Legal Records That We Should Have On File Regarding Custody Agreement For This Student?

Yes

Legal Document

Upload File

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

Hospital

Hospital's Phone

In case of emergency and unable to reach parent, you have my permission to take above listed child to listed doctor, neighbor or relative. (In order listed)

Yes

List all daily 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.

Upload Prescriptions, Doctor's Notes and/or Medical Documentation, if applicable

Upload File

Any Physical Limitations? (Please list)

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

Please list any other situations below in which you wish to be contacted.

Is Bus Transportation Required? (Please Note: Eligibility will be determined)

Yes

Transportation Directions

Language, First

Language, Primary

Language, Parent

Tribe Name, if applicable

Upload CIB and/or 506 Form, if applicable

Upload File

1st Sibling Name

Birthdate

2nd Sibling Name

Birthdate

3rd Sibling Name

Birthdate

4th Sibling Name

Birthdate

5th Sibling Name

Birthdate

Was The Student Placed In Any Special Education Service And/Or Have An IEP?

Yes

Has Your Child/Student Ever Been On A Long-Term Suspension And/Or Expelled From Another School?

Yes

Birth Certificate

Upload File

Immunization Record

Upload File

Please Note: Both Documents (Birth Certificate AND Immunization Record) must be provided for student to begin school. If necessary, please discuss any needs, questions, comments or concerns with the School Principal.
The current supported file format for both Birth Certificates and Immunization Record. If you need assistance converting your .jpg or .png file to the supported .pdf file, please click HERE.

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 queston.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 deny or confirm need for the following question.View Estancia Municipal School District Handbook - Sign Off Sheet

Do you need an Estancia Municipal School District Student Handbook?

Yes

Permission to Share Student' 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" and will grant or deny my permissions on the following questions.View Estancia Municipal School District - Educational Activities - Waiver and Consent.

Permissions for Educational Activities. Please refer to Estancia Municipal School District - Educational Activities - Waiver 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 Medicial 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.View Permission to Walk Home Alone Form.

Permission to Walk Home Alone

Yes

I have read, filled out, and completed the, "New Mexico Student Residency Questionnaire Form." You will be directed to an external form, please wait while form loads. Pleae complete and exit the external form to return to this registration page.

I have read, filled out, and completed the, "New Mexico Public Education Department - Language Usage Survey." You will be directed to an external form, please wait while forms loads. Please complete and exit the external form to return to this registration page.

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 provides me, as a Parent/Guardian, access to my student's grades and attendance. More Information About PowerSchool

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.

PLEASE ENTER EMAIL ADDRESS FOR CONFIRMATION LETTER

Expected Start Date

PRINT YOUR FULL NAME

Today's Date

Your Signature

I want to subscribe to the District's Online Newsletter. You may opt out of subscription at any time.View our News Page!

Please allow 10 to 15 seconds to allow your

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 close shortly. Thank you!

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.

All student enrollment forms, including the online registration system above, may or may not be inclusive. All information is subject to change with or without notice. No information is shared between Estancia Municipal School District and any 3rd party affiliates.