Registration Instructions and Forms

1.   Click the link below to complete the Demographic Registration Formand Home Language Surveyas they relate to your child(ren). 
You must provide at least 1 Guardian, 1 Emergency Contact and a Pediatrician.

*This information is submitted over a secure server and is only used by the Wyckoff School District to maintain student information.

2.   Print and complete the following forms

                Registration/Residency Packet
                Developmental History Form  
             Health History Form
             School and Athletic Examination Form
             Vision Form
             RESIDENCY POLICY 5111
3.   Submit the following documents:

             Student's Original Birth Certificate             
             Student's Immunization Record 

 Additional Residency Forms (if applicable):
                          Residency Affidavit 1 - Landlord Affidavit
                          Residency Affidavit 2a - Non-Resident Parent
                          Residency Affidavit 3a - Family Temp. Living in District
                          Residency Affidavit 3b - Resident Providing Housing for Another Family



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February 2019

Dear Parents and/or Guardians,      

As part of the Kindergarten registration process and in advance of the start of the next school year, we want to be sure you are aware of the following health services requirements:

     *  Your child's/children’s immunizations must be up-to-date in order for him/her to start school. As required by the New Jersey Department of Health and Senior Services, documentation of immunizations must be submitted prior to the first day of school. A student will be refused entry until immunization requirements are met. Exceptions may be granted only for religious beliefs or medical recommendations.

     *  All students entering Kindergarten in the State of New Jersey must have documentation of a completed physical examinationThe physical should include hearing and vision exams, which can be completed by your physician.

Please keep your school nurse abreast of changes in immunizations, health status, etc
., during the course of the school year.

If you have any questions, please contact your physician or your elementary school nurse
We appreciate your support in helping us establish a safe and healthy school environment for your child.

Debra Herold
Director of Student Personnel Services / Nursing Supervisor


     Wyckoff School Nurses:

    Coolidge Elementary School            Lincoln Elementary School               Sicomac Elementary School
              Phyllis Krey                                   Emily Konikowski                               Nancy Williams
    201-848-5710, ext. 1205                     201-848-5720, ext. 2205                     201-848-5730, ext. 3203

    Washington Elementary School             Eisenhower Middle School
             Lorraine Antonucci                                  Susan Yadoff
         201-848-5740, ext. 4206                     201-848-5750, ext. 5207



    Minimal Immunization Requirements for School Attendance in NJ 
     (NJAC 8:57-4: Immunization of Pupils in School


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