Dear Parent:

In accordance with RI Law 16-64-1, a child shall be enrolled in the school system wherein he/she resides. If the child’s parents reside in different towns, the child shall be deemed a resident of the town in which the parent having actual custody of the child resides. All new registrants must complete the following.

Student’s Name: _________________________________________________________

Student’s Address: _______________________________________________________

I certify that I am the legal parent of the child whose name appears above and that this child resides full-time with me at the same address, and that I am a legal resident of the Portsmouth School District. I hereby furnish two documents as evidence of my residency.

Parent’s Signature: _______________________________________________________

Evidence of Residency – Please attach copies of two of the following to this form and return. Tax bills are not acceptable

Driver’s License Voter Registration Card

Rent Receipt with Address Utility Bills

Insurance Policy with Address Check with Account # Blacked Out

ADM-04-01

Dear Parent:

In accordance with RI Law 16-64-1, a child shall be enrolled in the school system wherein he/she resides. If the child’s parents reside in different towns, the child shall be deemed a resident of the town in which the parent having actual custody of the child resides. All new registrants must complete the following.

Student’s Name: _________________________________________________________

Student’s Address: _______________________________________________________

I certify that I am the legal parent of the child whose name appears above and that this child resides full-time with me at the same address, and that I am a legal resident of the Portsmouth School District. I hereby furnish two documents as evidence of my residency.

Parent’s Signature: _______________________________________________________

Evidence of Residency – Please attach copies of two of the following to this form and return. Tax bills are not acceptable.

Driver’s License Voter Registration Card

Rent Receipt with Address Utility Bills

Insurance Policy with Address Check with Account # Blocked Out

ADM-04-01