Registration: Each Step is a Link with Enrollment Requirements

STEP 1: Forms to Attach to Student Enrollment Form

Print: New Student Registration Checklist

Prepare & collect the following documents to attach to the Enrollment Form in Step 2. Several forms are provided with fillable fields for your convenience.

If you would like a paper version of the New Student Enrollment form please contact the front office of the school your student will be attending.

PDF file type is required for Step 2 Enrollment Form Submission (please DO NOT PHOTOGRAPH a document, SCAN it).
Exception: JPGs (photo) allowed for License & Student Photo
- Residency Validation Form, plus 1 document from column A, B & C (4 documents in total):
  - Column A: Record of Living Arrangement
  - Column B: Recent Utility Bill
  - Column C: Valid Parent Mass ID (Front & Back)
- Release of Records Form
- Home Language Survey & Race Demographic Collection (2 pages)
- Student Health Information Form
- Birth Certificate
- Photo of Student
- Any Legal Paperwork pertaining to Child (custody, etc)
The Health Providers Exam & Immunization documents are HEALTH CARE PROVIDER generated documents. Print outs from the patient portal are not acceptable.
- Health Providers Examination Form from Health Care Provider
- Certification of Immunization Form from Health Care Provider
(Optional) Free and Reduced Lunch Application
Return to: Pentucket Food Services;
20 Main Street, West Newbury, MA 01985

Kindergarten Registration: Additional Required Forms
- Child Development History Form
- Vision Screening Certificate from Pediatrician
- Lead Screening Result from Pediatrician
Preschool Registration: Additional Required Forms
- Child Development History Form
STEP 2: Student Enrollment Form (All Languages)

This form must be submitted to start the enrollment process.
IMPORTANT: Prior to starting the enrollment form, please collect & prepare the forms under STEP 1: REQUIRED FORMS.
1. Instructions: How to SAVE the form information before SUBMIT
2. Select the form for the school your student will be attending
  [Each student will need a separate form submitted]:
  
  Bagnall Elementary School Enrollment Form
  
  Donaghue & Sweetsir Elementary Enrollment Form
  
  Page Elementary School Enrollment Form
  
  Middle-High School Enrollment Form
If you would like a printable version of the New Student Enrollment form please contact the front office of the school your student will be attending.
STEP 3: Forms for First Day of School (English)
Additional Information

Kindergarten & 1st Grade [JEB] Policy on Entrance Ages

School Registrar


School	Contact	Phone	Email
BAGNALL	Jessica Stokes	(978) 372-8856	jstokes@prsd.org
MERRIMAC	Cassandra Engel	(978) 346-8921	CEngel@prsd.org
PAGE	Mary Bellerose	(978) 363-2671	mbellerose@prsd.org
MIDDLE-HIGH SCHOOL	Kara Mamakos	(978) 363-2957	kmamakos@prsd.org

Pentucket Regional School District

Registration: Each Step is a Link with Enrollment Requirements

STEP 1: Forms to Attach to Student Enrollment Form

STEP 2: Student Enrollment Form (All Languages)

This form must be submitted to start the enrollment process.

Kindergarten & 1st Grade [JEB] Policy on Entrance Ages

School Registrar

Translated Forms