25-26 Project ACT Enrollment Form

Please fill out this form if you are enrolling into Project ACT or changing the address of a student. NOTE: This form cannot be used to change the CMSD school.

 
 
mm/dd/yyyy
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 

If different from your address

 

If different from your number

 

May we take pictures of your child interacting in their classroom or other Project ACT Activities?

 

Check this box if you want counseling for the student through Beechbrook.

 
 
 
 

How many children do you have age two or younger?

 

How many children do you have ages three to five NOT including children enrolled in Kindergarten or preschool.

 
 
 

Please attach all documentation in your possession: Birth Certificate, Shot Records, Special Education (IEP & ETR) Documentation, out of district report card/transcript, etc.



You MUST attach your Photo ID. We cannot process enrollment without your Photo ID attached!

Drop your files here