One Day Enrollment for Exams
Parent/Legal Guardian signature (use mouse to sign)
Name of Parent/Legal Guardian
Relationship to Student
Before submitting form, please verify your answers. After pressing SUBMIT FORM, if there are errors, they will be noted in red. Parent or Guardian will be required to submit proof of residency.
Student's Home Address (Appt/Unit Number)
Students must verify with their schools the exact times that they are to report for their State examinations.
400 Lake Street • P.O. Box 549 • Ithaca, New York • 14851-0549
ITHACA CITY SCHOOL DISTRICT
OFFICE USE ONLY
Current immunization records must be on file with ICSD for your child to take Regents exams.