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Madison Metropolitan School District

Toki/Jefferson Middle School Form

DECLARATION OF HOME SCHOOL FOR STUDENTS RESIDING IN THE

OPTIONAL TOKI/JEFFERSON (ALLIED ASSIGNED) MIDDLE SCHOOL ATTENDANCE AREA

Required

Student Namerequired
First Name
Last Name
ID#required
Graderequired
Resides at required
Located in the Optional Middle School Attendance Area
Middle School Choicerequiredis declared as the home school
is declared as the home school
(I, We) understand that:
  1. Students residing in this area may exercise an option to attend Toki or Jefferson;
  2. The school selected will be considered the student's home school;
  3. Students desiring to attend another middle school within the Madison Metropolitan School District after they have exercised their option will be required to apply for an internal transfer. 
Parent/Legal Guardianrequired
First Name
Last Name
Parent/Legal Guardian Emailrequired
Daterequired
Date that form was completed (Must contain a date in M/D/YYYY format)