A household is a grouping of people who live together in one location. A household name is typically a last name or a hypenated name that represents the students in the family. Please provide the address and primary phone number associated with this household. Proof of residency will be required. You will be asked to upload at the end of this form, or bring into the enrollment center a current copy of a utility bill in your name or copy of lease agreement.
Household Members - Students
Please list all students that live in your household that attend Glenpool Public Schools.
Family Information is located in the left menu of the Parent Portal. Family members are the adults and students who live in the same house.
Biological parents not living in the home will be listed later on this form.
Let's establish the relationship between the adults in the household and the students in this household. We will start with adut 1.
Let's establish the relationship between adult 2 and the students in this household.
Let's establish the relationship between adult 3 and the students in this household.
No other adults listed.
Let's establish the relationship between adult 4 and the students in the household.
Additional information about the adults in this household.
Provide information about how each student in this household will get to school and arrive home.
Please tell us if each student has a parent or guardian who is serving in the following branches of service.
Let's collect some health information for each student in this household.
I hereby authorize any physician, surgeon, or dentist on the medical staff of the nearest medical facility to administer any emergency treatment, procedure, or medication necessary and advisable. I also authorize the use of an ambulance, if necessary, to transport my child. I further agree to pay for all services provided for my child.
OSIIS - Authorization to Use or Share Protected Health Information to School.
I hearby authorize the Oklahoma Immunization Service to release my Immunization records and information located within the Oklahoma State Immunization Information System (OSIIS) to Glenpool Public Schools.
The informaion may be disclosed to to ensure the student meets Oklahoma eligibility requirements for schools/day cares as outlined in Title 70 O.S. §1210.191 and Oklahoma Administrative Code ("OAC") 310:535-1-2 and OAC 310: 535-1-3
This authorization will be in effect for one year from the date of signature.
Let's collect some health information for student 2 in this household.
Let's collect some health information for student 3 in this household.
Let's collect some health information for student 4 in this household.
Let's collect some health information for student 5 in this household.
Let's collect some health information for student 6 in this household.
Demographics are located on the left menu under each student on the Parent Portal. This displays biological parents and emergency contacts who do not live in your household.
Please list adults who do not live in your home that you want contacted in case of an emergency if you can not be reached. Also, list any biological parent who has custodial rights to these students but is not living in the student's household, even if they will not be called in case of emergency.
Since adult 1 is a biological parent, additional information is requested.
Since adult 2 is a biological parent, additional information is requested.
Household Income Survey
The information provided in this section will impact federal and state funding for Glenpool Public Schools. Please provide accurate information to the best of your knowledge to ensure proper funding for your student.
By checking the box below, I verify the information listed on this form is accurate to the best of my knowledge. I will inform the enrollment office when information for my student needs to be updated throughout the year.