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  • High School New Student Registration Form

    Robin Kohut -- (978) 363-5507 -- kohut@prsd.org
  • Dear Parent / Guardian,

    Welcome to the Pentucket Regional School District. We are looking forward to getting to know your child and your family.  Please use this form to complete all necessary paperwork so we may register your child for school. Ask any school front office staff for assistance when completing this paperwork or if you need any translation assistance.


    Sincerely,
    Pentucket Regional School District

  • Student Information

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  • Military Family - Students who are children of:
    1. Active duty members of the uniformed services, National Guard & Reserve on active duty orders
    2. Members or veterans who are medically discharged or retired within one year
    3. Members who die on active duty​

  • Siblings Attending Pentucket Regional School District

  • Primary Contact (Only Parent or Guardian with Legal Custody): STUDENT'S RESIDENCE

  • Please complete the Primary and Emergency Contact Information below. Parents are responsible for alerting school staff of any court documentation that impacts custodial rights to student records, visitation, etc. Copies of these documents must be provided to the school at enrollment

    Legal Custodian is defined as "Parent(s), guardian(s), or person(s) assigned by the court."

    Per school policy, your child will not be dismissed to anyone not listed as a contact without explicit permission form a parent / guardian.

     

  • Under Massachusetts Law Chapter 76 Section 5, only students who actually reside within the towns of Groveland, West Newbury, and Merrimac may enroll in the Pentucket Regional School District. In order to verify residence within the town, a student enrolling in the Pentucket Regional School District must provide documentation of actual residence. In addition to providing such documentation at the time of initial enrollment, the school administration may request verification at any later time if there is doubt of actual residence.

    I understand that it is my obligation to promptly notify the school principal of any changes in the students primary residence (place defined as where child sleeps during 4+ nights per week)

  • Secondary Contact (Only Parent or Guardian with Legal Custody):

  • Emergency Contact #1 (Not Primary or Secondary):

  • Emergency Contact #2 (Not Primary or Secondary):

  • Materials Required to be Returned before your student is able to begin classes

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  • 9) Any legal paperwork pertaining to the Child (custody, etc) must be delivered to the students attending school front office.

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  • Pentucket Regional School District Office of the Superintendent
    22 Main Street, West Newbury, Massachusetts 01985-1897
    TEL: (978) 363-2280 / FAX: (978) 363-1165

    Justin Bartholomew, Ed.D. [Superintendent]
    Brent Conway [Assistant Superintendent]
    Catherine Page [IT & Digital Learning Director]
    Greg A. Labrecque [Business Manager]
    Michael A. Jarvis, Ed.D. [Directory of Supplemental and Intensive Services]

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