Residency/High School Form
Student Name:
Current Address to be used to establish residency:
Street, city, zip
Please read the following statement and circle or underline the correct school your student will be
attending when they reach high school. Future transfers or moves cannot be considered, they have to
be currently in place for them to apply. You can only use your current address to establish residency.
*Per my current address of residence and Moore Public Schools district school boundary lines, my child
will attend ( Moore, Southmoore, Westmoore ) Highschool.
If you have a special circumstance that has been approved by the administration building or the
athletic Department, please list that below or attach a copy of the approved paperwork.
Student Signature
Parent Signature
Date