Enrollment Forms

Important Enrollment Information:

At Roosevelt Middle School, we want every student to succeed. In order for every student to receive a smooth transition, there is a typical waiting period of approximately 48-72 hours to process enrollment paperwork. Our registrar needs time to gather information, request student records, and communicate with the prior school. This critical information allows the administration and counselor to place the student in the appropriate academic classes as well as determine if there is a need for social/behavioral supports. Thank you for your understanding while we complete this process.

Here are fillable versions of the required registration and enrollment forms. Families of prospective students, please fill out the forms and email the pdfs to Roosevelt’s registrar, Kelly Ayres, at ayres_k@4j.lane.edu. If you would prefer to print the forms and mail them to us or would like a paper copy, please contact Kelly Ayres at ayres_k@4j.lane.edu.



4J Annual Notice of Legal Rights & Opt Out Form 2021-22

4J Avisos y formularios anuales requeridos 2021-22

4J Annual Permissions (Walking Field Trips & PG Movies) 2021-22

4J Permisos anuales 2021-22

Student Email & Google Docs Suite Permission Form English

Student Email & Google Docs Suite Permission Form Spanish

Free & Reduced Price Lunch English

Free & Reduced Price Lunch Spanish

Additional forms can be found at the 4j website here.