Family Educational Rights & Privacy Act

Complete only if transferring from another school

Please complete this form if you are requesting to attend a school different from your neighborhood school

1. Proof of Residency
Proof of Residency in the Kearney Public School district. Your name and address must be on the documents you provide. Examples: Rent receipt, lease agreement, mortgage document, property tax record, voter registration record, current utility bill, government benefits documentation such as medicare, disability or food stamps.

2. Immunization Records for your child.

3. Certified Birth Certificate
This needs to have the raised seal. (A copy will be made for our files and your original returned)