Registration Forms

Welcome to Cassopolis Public Schools!


The following documentation is needed to register new students:

Ø Student’s Birth Certificate

Ø Current Immunization Records

Ø One form of Verification of Residency (i.e. Electric Bill, Cell Bill)

Ø Driver’s License


  • If your child has any medical needs, please provide doctor’s information and forms.
  • If there are any custody issues, please provide documentation showing guardianship.
  • If your child has an IEP (Individualized Education Plan), please provide any copies or information to enrollment staff.


If you have any questions, please feel free to contact our office at 445.0503

Enrollment Information

Download the forms and save the documents to your device before typing information. When enrollment forms are complete, please email them to one of the following:
Sam Adams Elementary: Mrs. Blaske,
Cassopolis Middle School: Mrs. Daun Gregory,
Cassopolis High School: Mrs. Kerry Smith,

check-box  Registration Form
 check-box  Home Language Survey
 check-box  Reporting Military Form
 check-box  Birth Certificate Verification Form
 check-box  Disclosure of Immunization Form
 check-box  Medication Request Form
 check-box Prior Care Form (TK/Kindergarten Only)
check-box  31a Data Reporting Form
check-box  Permission/Participation Form
check-box  Parent/Student/Staff Compact(Sam Adams Elementary Only)
 check-box Transportation Request Form
 check-box  Alternative Bus Stop