GRATTON SCHOOL DISTRICT
4500 SOUTH GRATTON ROAD
DENAIR CA 95316
OUT-OF-DISTRICT STUDENT ENROLLMENT
WAITING LIST REQUEST
Name(s) of Student(s)
Grade(s)
Birthdate
______________________________
_________
____________
______________________________
_________
____________
______________________________
_________
____________
School District of Residence: ___________________________________
If your child is 4 years of age when they start school at Gratton and will be turning 5 years of age
between 9/1 and 12/1, we have a Transitional Kindergarten Class. Gratton School’s Transitional
Kindergarten Class is combined with our Kindergarten Class. (TK/K Combo Class)
Would you like to be placed on the TK/K Combo Class list?
(circle one)
Yes
No
__ I understand that according to Gratton School District’s board policy, the interdistrict agreement may be denied.
__ My child has been tested or may need to be tested for the following programs:
__ None
__ Speech
__ Resource
__ Other ______________________________________
Signature of Parent or Guardian ____________________________
Print Name _________________________________________
Phone Number ___________________
Address ____________________________________________________
Date __________________________