* Required

Intent to Enroll in Future Years

Once we receive this enrollment intention, your student will be placed on the enrollment list and will be prioritized according to our Enrollment Policy.

Thank you! We look forward to meeting you and your student.

This application is for the following school year (example: 2021-2022)required

Student Personal Information

Firstrequired

Middle

Lastrequired

Gender*

Male Female

Student Goes By:required

Student to Enter Grade:required

Date of Birthrequired (mm/dd/yyyy)

Country of Birth:required

Family Household Information

This student lives:*

Within SSSD boundary Outside SSSD boundary

Does your student need transportation service between Steamboat Springs and NRCCS?*

Every day Periodically Never

Primary Household Information

This is where the student resides the majority of the time during the school year.

Parent/Guardian Firstrequired

Parent/Guardian Lastrequired

Relationship to Studentrequired

Cell Phonerequired

Address 1required

Address 2

Cityrequired

Staterequired

Ziprequired

Is this address on County Road 52--or north and accessible from County Road 129 (within the North Routt Fire Protection District?)*

Yes No

Special Services Information

Submission of Intent to Enroll

Parent/Guardian Emailrequired

Date of Submissionrequired (mm/dd/yyyy)

Please send a confirmation email to the address below:

Please provide an email address where we can send a link to your current form.

Email Address :