Header Parent/Student Access Parent/Student Access
* Field is required
Request for Enrollment

Welcome to Michigan City Area Schools! 


IMPORTANT! Is your child already a student attending any MCAS school or have you already signed up for kindergarten? If yes - do NOT complete this form. Please register for school using your Parent Access account. (Contact your school if you need your code or any other assistance.) 


New Enrollees: You will be REQUIRED to attach the student’s birth certificate and proof of residency as part of this initial step. If possible please also attach the following additional information, which is required before your child starting school: parent ID, immunization records, proof of lead testing (kindergarten only), transcript/records from the previous school, and any custody paperwork. After completing this online form, your information will be submitted as a request to enroll. You will be contacted by the school office with additional information. You will then be asked to “register” - completing additional forms required annually by our school district.


Virtual Academy: Current MCAS students interested in the Virtual Academy, do not fill out this form. Please reach out to your school counselor instead. New students in grades K-12 interested in the MCAS Virtual Academy, please add “Interested in Virtual Academy” in the Comments/Notes at the end.
Student's Legal Last Name *
Student's Legal First Name *
Student Middle Name *
Student Suffix (Jr., Sr.)  
Grade *
Gender *
Student Birthdate * mm/dd/yyyy
Student Social Security
Student Place of Birth (City/State) (If outside US/Canada use City textbox for City/State)*  
Does your student currently receive special services? *
What will be your child's mode of transportation for the upcoming school year? *
Is this student in the process of or currently suspended or expelled from any school? *
     
Student Home Address *
Student Home Apartment  
Student Home City/State *  
Student Home Zip *
Student Home Phone *
Student Cell Phone
Student Lives With *
Student Custody/Guardianship *
     
Parent/Guardian(s) *
You must enter information for at least one legal parent/guardian, but may enter up to two.
Legal Parent/Guardian 1 Last Name
Legal Parent/Guardian 1 First Name  
Legal Parent/Guardian 1 Phone
Legal Parent/Guardian 1 Email
Legal Parent/Guardian 1 Address
(if different from student)
Legal Parent/Guardian 1 Apartment  
Legal Parent/Guardian 1 City/State  
Legal Parent/Guardian 1 Zip  
     
Legal Parent/Guardian 2 Last Name
Legal Parent/Guardian 2 First Name  
Legal Parent/Guardian 2 Phone
Legal Parent/Guardian 2 Email
Legal Parent/Guardian 2 Address
(if different from student)
Legal Parent/Guardian 2 Apartment  
Legal Parent/Guardian 2 City/State  
Legal Parent/Guardian 2 Zip  
Work Information
  Employer Name Address City/State Phone
Parent/Guard 1 Work  
Parent/Guard 2 Work  
Emergency/Contact Information
  Name Address City/State Phone
1 *  
2  
3  
4  
Doctor Name  
Doctor Phone
Dentist Name  
Dentist Phone
Babysitter/Daycare  
Babysitter/Daycare Phone
Last School Attended *
School or Preschool Name
(enter "none" if no last school or preschool)
City/State  
Phone
Ethnicity *
Is this student Hispanic Latino?
Race *
Choose all that apply.
   
   
   
   
   
   
Siblings Enrolled at This District
Name School Grade
Comments or Additional Information
Signature
Full Name of Registering Adult *
 
     
     
     
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