Beverly City School

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Student Registration Form

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    Student Registration Form

    * denotes fields that must be completed

    PARENT/GUARDIAN INFORMATION

    Note:  A copy of custody/guardianship papers MUST be provided to the school to be kept on file. (if applicable
    Max file size: 20MB
    MILITARY CONNECTION: 

    FAMILY INFORMATION

    If I move from the above address within the District, I must notify the Registrar’s office immediately & complete a Change of Address form within five days.

    RESIDENCY INFORMATION

    In accordance with New Jersey state law (N.J.S.A. 18A:38-1 and 18A:7B-12), it is necessary to determine the residence of students entering the school district by answering the following questions:
    Max file size: 20MB
    NOTE:  A Beverly City School District Affidavit of Residency Form (Renters) or (Owners) need to be completed and notarized as per circumstances.
    Max file size: 20MB

    ACADEMIC INFORMATION


    PERTINENT HEALTH INFORMATION

    ​Does your child have any of the following, if yes, please explain:
    Max file size: 20MB
    Physical Exam Record Form
    Registro de Examen Fisico
    Max file size: 20MB
    ​HEALTHCARE COVERAGE INFORMATION:
    EMERGENCY CONTACT
    I agree that either one of these emergency contacts may pick up my child from school in the event I cannot be reached.

    Please click here to download the needed registrations forms and upload below.
    Max file size: 20MB

    PARENT/GUARDIAN VERIFICATION

    I understand that my child may be tested in Language Arts, Reading, Math, and/or English as a Second Language before he/she is properly placed in a classroom in the Beverly City School District.  I have received a copy of the school hours and uniform policy.  I understand if any of the required registration documents are missing at time of registration I have 30 Days to provide them. I further attest that all information provided on this registration form is true and accurate and may be investigated by the School Resource Officer or the Beverly City Board of Education.   
    *It is the responsibility of the parent/guardian to provide any updates or changes to the demographic information
    within ten (10) days of such change.
    • Changes in phone numbers, emergency contacts, etc. must be presented in writing to the Beverly City School.
    • Changes in residency, guardianship or parent custody must be presented to the

    ​Beverly City School at: 
    601 Bentley Avenue, Beverly, NJ 08010
    Phone – (609)387-2200
    This is essential to maintain our emergency data contact base.
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About Beverly City School

​Beverly City School is a Preschool through 8th grade school located in Beverly City, New Jersey.

Contact us by phone

609-387-2200

​Contact our Superintendent

Elizabeth Giacobbe, Beverly City School District Superintendent
Elizabeth C. Giacobbe, Ed.D.
egiacobbe@beverlycityschool.org

Location

601 Bentley Avenue, 
​Beverly City, NJ 08010
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