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To Register a New Student

Guide to the Student Registration Process
Guide to Residency Verification
Pupil Registration Form / Emergency Contact Information Form / Medical/Insurance Information Form
Residency Affidavit
Questionnaire for McKinney-Vento Homeless Act (for determining residency) 
Potassium Iodide (KI) Student Medication Authorization Form and related information
Millstone Power Station Readiness Plan 
Consent for Release of Information
Kindergarten Parents As Partners
Programs and Services in the Lyme-Old Lyme Public Schools
Information Sources in the Lyme-Old Lyme Public Schools
Placement Agreement for Non-Resident Students

Note: when registering a new student, a copy of the student's birth certificate will be made, and evidence that the student's immunizations are up to date is required. New registrants must provide documentation on the appropriate State of Connecticut Health Assessment Record form of a physical exam that has taken place within 1 year of starting school (see links to forms below).

Call the schools to set up an appointment to register your child:

Lyme-Old Lyme High School (9-12) - 860-434-1651
Lyme-Old Lyme Middle School (6-8) - 860-434-2568
Mile Creek Elementary School (K-5) - 860-434-2209
Lyme Elementary School (K-5) - 860-434-1233

 

To Document a Physical Exam or Medical Request

Medical Requirements for Students for 2016-2017
Medical Requirements for all Students 2017-2018

State of CT Early Childhood Health Assessment Record (for Pre-K physicals)
State of CT Health Assessment Record (for new registrants, Kindergarten, Grades 6 and 9 physicals)
Sports Physical Examination Form
Authorization for the Administration of Medication by School Personnel (must be signed by the prescribing doctor)
Authorization for the Administration of Acetaminophen/Ibuprofen in the Middle and High Schools
Certification of Medical Exemption
Certification of Religious Exemption
Field Trip Medication Authorization Form
International Field Trip / Acknowledgement of Physician Consultation

 

Does Your Child Have Health Insurance?

Connecticut's HUSKY Plan offers low-cost or free health care
Student Accident Insurance (voluntary)

 

To Participate in a Middle or High School Sport

1. Student athletes must provide documentation of a physical exam dated within 13 months of participation in a sport.
2. Have no outstanding obligation to the school.
3. Meet both academic and core values expectations.
4. Complete registration through Familyid, which will cover the following forms: 

Permission to Participate in Interscholastic Athletics
Extracurricular Activities Notification Acknowledgement (BOE Policy #3600)
Medical Data Sheet for Coaches
Concussion and Head Injury Student/Parent Informed Consent Form
Sudden Cardiac Arrest Student/Parent Informed Consent Form

 

Free and Reduced-Price School Meals or Free Milk

Application for Free and Reduced-Price School Meals or Free Milk
Frequently Asked Questions about Free and Reduced-Price School Meals
Income Guidelines for Free and Reduced Price Meals
Information on SNAP: Supplemental Nutrition Assistance Program

 

Other High School Forms 

Student/Parent Agreement for District Issued Laptop
Permission for a High School Junior/Senior to Apply for a Parking Permit
Permission for a High School Senior to Apply for a Late Arrival/Early Dismissal 
  

Lyme-Old Lyme High School's Counseling Department Forms

Brag Sheet
Educational Records Consent & Release Form
FERPA Consent, Release & Waiver for Letters of Recommentation
Recommendation Information Form

 
  
 


 
 


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