Open Enrollment

Forms

Required

For any questions on this application, please contact

Julie Steiner, Supt. Adm. Asst. at the District office

Phone - 419-358-5901 or Email steinerj@blufftonschools.org

Student Namerequired

First Name

Middle

Last Name

Date of Birthrequired

Must contain a date in M/D/YYYY format

Genderrequired

Parent/Guardian (Full Name)required

First Name

Last Name

Other Parent/Guardian (Full Name)

First Name

Last Name

Addressrequired

Cityrequired

Staterequired

Zipcoderequired

Email Addressrequired

Cell #required

Work #

District of Residencerequired

District of Current Enrollmentrequired

Grade in School as of Fall of 2026required

Are you currently under suspension or expulsion for 10 consecutive days or more?required

Have you been suspended for 10 consecutive days or expelled in either the current year or the preceding semester?required

Does your Educational Program include an Individualized Education Plan (IEP)?required

Parent/Guardian's Signaturerequired

Signature Daterequired

Must contain a date in M/D/YYYY format