Please complete the form below. Mandatory fields marked *
Note: Both Part A and Part B of the question must be answered.
Part A is about ethnicity, not race. No matter what you selected above,
please continue to answer the following Part B of what you consider your student's race to be.
Contacts listed here will be contacted in case of an emergency if parent/guardian cannot be contacted.
Grandmother and Grandfather should be listed together
Please provide the Daycare Provider information.
From time to time, it is helpful to cross reference children from the same family attending Leavenworth schools.
Please list the children in your family other than the one enrolling on this form.
Leavenworth Public Schools does not purchase accident insurance to cover injuries by your child at school.
We encourage all families to have accident coverage on their children prior to participation in any sports or
school sponsored activity. A third party organization offers insurance for those who have no insurance,
a high deductible, a Co-pay, or limited benefits. Brochures with the full explanation are available at enrollment.
For High School Only
Gmail is web-based program providing email, word processing, spreadsheet,
presentation and collaboration tools. USD 453 Google Apps for Education is
available at school and at home via the web. Even though e-mail from known inappropriate sites is blocked and filtered,
there is always a chance students will be exposed to inappropriate content. School staff will monitor student use of
Google Apps when students are at school. Parents are responsible for monitoring
their childs use of Google Apps when accessing programs from home. Students are
responsible for their own behavior at all times. All mail is content filtered
As the parent/guardian, I understand that the use of computers in Leavenworth schools is a privilege, not a right.
The full Acceptable Use Policy is in the student handbook
At various times during the school year, students participate in educational activities that are videotaped photographed,
or recorded. The Leavenworth School District occasionally uses these images for promotional purposes in: brochures,
newsletters, website display, as well as with the news media.
For Elementary Schools Only
The Leavenworth Public Schools believe that all children can and will learn. We are committed to providing the
necessary elements for each child's success. We will ensure a safe and nurturing environment that fosters the fullest
potential of each child. Leavenworth elementary schools are required to do a Compact with each family. This ensures a
collaborative approach to each child's educational success.
The full Parent/Student/Teacher Compact is in the student handbook
The handbook contains yearly required notification on the following issues:
As a condition of enrollment, my child is required to abide by all regulations contained in the handbook as well as
other policies established by the Board of Education. If my child chooses not to abide by the regulations contained
in this handbook, any other policy established by the Board of Education, or any reasonable request by school authorities,
disciplinary action may be imposed, up to and including expulsion from school.
Student Handbooks and Board of Education policies can be found on-line at the District and
individual schools websites at www.usd453.org.
Hard copies are available on request at the Board of Education Offices and the school buildings
For students new to the district only
Please provide the following information so we can request records from your child's previous school if transferring from
outside the district:
The School District is required to collect this information for Federal and State reporting purposes