Mt. Lebanon School District 7 Horsman Drive ~ Pittsburgh ~ Pennsylvania ~ 15228 To Provide the Best Education Possible for Each and Every Student

Dear Parents/Guardian: Welcome to the Mt. Lebanon School District! We look forward to working with you as partners in your child’s education. Enclosed, please find the forms and information required to enroll your child in the Mt. Lebanon School District. Complete the following:

Bring the following:

Enrollment Form Notarized Act 26 Affidavit Not applicable for Kindergarten

Home Language Survey AIU English as a Second Language Student Background Questionnaire New Student Health Packet  Health History (Form 415-A)  Medication Form (Form 440)  Certificate of Immunization Card Request form for school records (Form 673-E) Not applicable for Kindergarten Network and Internet Acceptable Use Agreement for Students Free and Reduced Price School Meals Family Application, if applicable. (Cafeteria services not available for Kindergarten) Please return the completed application in a sealed envelope.

Birth Certificate/Passport Proof of residency (lease or purchase agreement, utility bill) Parent/guardian driver’s license or photo identification Copies of all special education documentation, 504 Service Agreement, or any other pertinent paperwork, if applicable Court order indicating limitations for non-custodial parents, if applicable

Please contact the building secretary if you have any questions, need assistance, and to schedule an enrollment appointment. Your child will begin classes upon completion and verification of required documentation as noted above. Sincerely, Mt. Lebanon School District

Revised: 1/2/17

Enrollment Letter and Required Items for Enrollment.pdf

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