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)*

Student Personal Information

First*

Middle

Last*

Gender*

Male Female

Student Goes By:*

Student to Enter Grade:*

Date of Birth* (mm/dd/yyyy)

Country of Birth:*

Family Household Information

Student Lives with:*

Both parents, same residence Each parent, separate residences Mother only Father only Mother/stepfather Father/stepmother Legal guardian Grandparent Other

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 First*

Parent/Guardian Last*

Relationship to Student*

Cell Phone*

Address 1*

Address 2

City*

State*

Zip*

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 Email*

Date of Submission* (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 :