Student Information
Additional Household Information
If the student resides in more than one household, please provide the address for that household. Please also provide the name and phone number for the guardian at that household.
Ethnic Background
Please be aware that families outside of the Oconomowoc Area School District pay an additional $40.00 fee per course. For more information on Summer School and course fees, please explore the course brochures, fees, and additional pages on our Summer School website.
Health Information
Health Concerns or Limitations:
Emergency Medication Required:
(i.e. inhalers, epi-pens, glucagon, food allergy, etc.)
Special Educational Needs:
School Address if out of district:
I understand that by submitting this form, I have read the above information and agree to protect the security of my child’s records. I am aware that Oconomowoc Area School District will only release the Login and Password to me and will not be responsible for my improper sharing or use of the security information. If I suspect that the security of my child’s records is in jeopardy, I will notify the school in person.
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