Registration Documents

Documents Needed for JXC Enrollment

Student Records Request (fillable PDF to print)
Student Records Request-Spanish
Three (3) Proofs of Residency (At least two should have the current address)
Student Birth Certificate
Parent/Guardian ID
Immunization DH680 (immunization records)
Physical DH3040 (pages 1 & 2)
Proof of Custody (if applicable, must include child(ren)’s name and both parent’s signature)
EP/IEP/504 plans (if applicable)
Physician Authorization for Student Medication Form (if applicable)
Home Language Survey

Student Records Request:

For incoming kindergarten students with no prior school records, the parent/guardian can submit a note stating “student has no prior records.”
For homeschooled students, school records can be uploaded directly into registration.

Proof of Florida Residency:

Most common proof of residency documents include: a current mortgage agreement, rental/lease agreement, Florida Driver’s License, electric bill, credit card statement, vehicle registration, automobile insurance.
If temporarily living with someone, the parent/guardian can submit a notarized written letter and proof of residency of person with whom they are living with.
At least two (2) documents should match the address on the enrollment form.

Proof of Age:

Besides a certified birth certificate, parents can also prove student age with a passport, certificate of baptism with sworn affidavit, life insurance policy, or prior school record of at least four (4) years.

Immunizations & Physical:

There is a parent and physician page of the School Entry Health Exam, both pages are needed for registration.
A completed Florida High School Athletic Association (FHSAA) Pre-participation Physical Evaluation Form (EL2) is also acceptable.

Proof of Custody:

Include all applicable pages with student(s) name and parent signatures.
If only one legal parent/guardian, a birth certificate can be used as proof of custody.

EP/IEP/504:

Medication at School: