Please complete the form below with as accurate of information as possible. If needed, please use NA for any fields that are not applicable. Please format all phone numbers as follows: ###-###-####.

Student Pre-Registration Form

 
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 Student Information 

 
1.
*
 

 

 

 

 

 
   
2.
*
 
   
3.
*
Please enter phone numbers in the following format: -####
 

 

 

 

 

 

 
   
4.
*
 

 

 

 
   
5.
This is an optional question.
 
   
6.
This is an optional question.
            


    
   
7.
*
 
   
8.
*
 
   
Is the student currently on an Individual Education Plan?  
Is the student currently on a 504 Plan?  
Are there any court actions pending against the student?  
Is the student currently suspended?  
Is the student expelled?  
   
9.
*
By checking yes to one or both of the following, I hereby release the Middleborough Public Schools and its school committee, employees, volunteers, agents, and other personnel from any liability and legal or equitable claims if any kind arising from or related to such publication.
 
   
The Middleborough Public Schools has my permission to use my child’s name and image for newspapers/print, TV/video, and website/Internet.  
The Middleborough Public Schools has my permission to use my child’s name and school work for newspapers/print, TV/video, and website/Internet.  
   
 
 
 
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"...to foster a culture of excellence within every student, in every classroom, every day."

Middleborough Public Schools

The Middleborough Public School Systems does not discriminate in its educational activities or employment practices on the basis of age, color, creed, disability, ethnicity, gender identity, genetic information, homelessness, marital status, national origin, political affiliation, pregnancy, race, religion, sex, sexual orientation, veteran or military status, or any other basis protected by federal and/or state law.