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LCSD Residential Exemption Application for Active Military Families 2024-2025 School Year

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Please complete the form below. Required fields marked with an asterisk *

Address
State
Answer Required
Please upload Verification Paperwork*
Answer Required
or drag it here.
Student (& Siblings Requesting to Attend School of Choice - Please include the #.*
Answer Required
0
1
2
3
4
5
6
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8
9
Clarkdale Elementary (PreK-6)
Northeast Elementary (PreK-4)
Southeast Elementary (PreK-4)
West Lauderdale Elementary (PreK-4)
Northeast Middle School (5-8)
Southeast Middle School (5-8)
West Middle School (5-8)
Clarkdale High School (7-12)
Northeast High School (9-12)
Southeast High School (9-12)
West Lauderdale High School (9-12)
Answer Required
YES
NO
Is your child an IDEA (special education) student? If "YES" attach a copy of IEP below.
Is your child currently on a 504 plan? If "YES" attach copy of plan below.
Does your child require any special medical care?
Is there any legal guardianship/custodial paperwork pertaining to your child? If "YES" please attach paperwork below.
If you answered yes that your child is an IDEA (special education) student, please attach the IEP.
Answer Required
or drag it here.
If you answered "YES" that your child currently has a 504 plan, please attach a copy of the plan.
Answer Required
or drag it here.
If you answered "YES" that that there is legal guardianship/custodial paperwork pertaining to your child, please attach it here.
Answer Required
or drag it here.
  • I understand that it is the parent's responsibility to contact the Athlectic Director at 601-693-1683 to determine athletic eligibility
  • I understand that the school district does NOT provide transportation for students living outside of the District or to school locations within the District in which the family doesn't reside.
  • I understand that the school district must review capacity for each school and educational program before determining acceptance or denial of this application.

I understand the provisions herein and swear that the information provided in this application is true and correct.

ACKNOWLEDGEMENT

Required Application Documents

  • LCSD Residential Exemption Application for Active Military Families
  • Active-Duty Military Paperwork
  • IDEA (special education), 504 plan, medical care, ELL, or guardianship/custodial paperwork (if applicable)
  • Signed Acknowledgement Form

I acknowledge that a complete application packet as detailed above is required to apply for military exemption in the Lauderdale County School District.  I also understand that the completion and approval of the packet does not register my student for school.  All registration procedures for new and returning students must be followed by the published deadlines in order for my student to be registered and eligible to begin on the first day of school.

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Date:
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