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Student Enrollment Form Application

Mitchell County School System (MCSS): Student Enrollment Form

Please complete the form below for each new student enrolling in the Mitchell County School System.

Student's Last Name:

Answer Required

Student's First Name:

Answer Required

Student's Middle Name:

Answer Required

Student's Date of Birth:

Answer Required

Gender:

Answer Required

Male

Female

Race/Ethnicity:

Answer Required

African American

Caucasian

Hispanic

Asian

Other

Parent First Name

Answer Required

Parent's Last Name

Answer Required

Email 1

Answer Required

Mobile Phone

Number Required

Address

Street Address

Answer Required

City

Answer Required

Zip/Postal

Answer Required

If your child is transferring from another school, fill out the information below.

List the name of the school district.

Answer Required

Name of the school and the city and state the school where the school is located.

Answer Required

Parents: if possible please mail a copy of your child's immunization record, social security card, Ear-Eye-and Dental Form and birth certificate and Proof of Residency to:

Lytresa Sanders

Mitchell County Board Office

108 South Harney Street

Camilla, GA 31730

take a picture of the document and email it to her at lytresa_sanders@mitchell.k12.ga.us.