Enrollment Forms

Documents on this web page are updated per statute and regulation and are intended for district/school use in fulfilling the requirements for school entry. Forms and links are located to the left. District requirements are identified below.

Immunization

Up-to-Date KY Immunization Certificate (within 2 wks. of enrollment)
704 KAR 4:020 Section 2.9
**out of state immunization certificates can be converted to KYImmunization Certificates by a physician or the local Health Dept.

Physical

Physical Examination Form - Provided by Physician (within 2 wks. of enrollment)
704 KAR 4:020 Section 2.1
**physicals for kindergarten enrollees must be no older than 1 yr. of initial entry into kindergarten
**Gr. 1-5 enrollees may present a copy of the physical given upon the child’s initial entry into kindergarten, whether in KY or out of state
**A second physical is required within one (1) year prior to entry into the 6th grade
**Gr. 7-12 enrollees may present a copy of the physical given at 6th grade, whether in KY or out of state

Dental Exam

KY Dental Examination Form (By Jan. 1 of year of enrollment)
**This form must be completed by a Doctor, Registered Physician, dentist, or dental hygienist for initial enrollment into any KY public school of a 5 or 6 year old child

Eye Exam

KY Eye Examination Form (By Jan. 1 of year of enrollment)
704 KAR 4:020 Section 2.6
**This form must be completed by an optometrist or ophthalmologist for initial enrollment into any KY public school (this would include first time kindergarten enrollees, as well as any student K-12 transferring from a private or home school)

Social Security Card

Social Security Card (within 30 days of enrollment) Apply for Card
**a copy of the card must be given to the school. If longer than 30 days, proof of application must be given to the school. (Copy of the check or money order will suffice as proof.)

Birth Certificate

Birth Certificate (within 30 days of enrollment) Apply for Certificate
**a copy of the certified birth certificate must be given to the school

Custody Forms

Custody Papers (upon enrollment) Child Support Enforcement

** "Order of Appointment of Guardianship/Conservator for Minor" from the Court. (A notarized transfer of guardianship from the parent will not be accepted.)

Rip Collins
Office of District Pupil Personnel
208 College St.
Hodgenville KY 42748
(270) 384-4111
Fax (270) 384-3053
rip.collins@larue.kyschools.us