Glenbard Township High School District 87
Policy 7:60-E4
Students
Exhibit – Evidence of Non-Parent's Custody, Control, and Responsibility of a Student
This form establishes a child's residency in the School District when the child is not living with a natural or adoptive parent. It must be completed by the individual who has assumed custody. Read Important Warning and submit this form with your signature to the Building Principal.
Student ____________________________________________________ School _____________________________
Name of Individual completing this form ________________________________________________________________
Relationship to the child _______________________________________
Please check all applicable boxes:
__ The child lives with me at my residence address, as stated below, and is not living with me solely for the purpose of attending the District's school.
__ I have assumed and exercise full legal responsibility for and control of the child regarding daily education and medical decisions, including responsibility for:
__ Medical decisions and costs
__ Food and clothing
__ Discipline and restitution for vandalism or other crime
__ School fees (books, bus, etc.)
At my residence the child regularly: (Please explain any unchecked boxes)
__ Eats Meals _________________________________________________________________________
__ Sleeps ____________________________________________________________________________
__ Spends weekends and summers ________________________________________________________
IMPORTANT WARNING: Glenbard District 87 reserves the right to evaluate the evidence presented. Completing this form does not guarantee admission. If a student is determined to be a nonresident of the District for whom tuitionmust be charged, the persons enrolling the student are liable for non-resident tuition from the date the student began attending a District school as a non-resident.
A person who knowingly enrolls or attempts toenroll in Glenbard District 87 on a tuition-free basis a student known by that person to be a nonresident of the district is guildty of a Class C misdemeanor, except in very limited situations as defined in State law (105 ILCS 5/10-20.12b(e).
A person who knowingly or willfully presents to Glenbard District 87 any false information regarding the residency of a student for the purpose of enabling that student to attend any school in that district without the payment of a nonresdident tuition charge is guilty of a Class C misdemeanor (105 ILCS 5/10-20.12b(f).
_________________________________________________________ __________________________
(Signature of individual completing this form) (Date)
_________________________________________________________ __________________________
(Address) (Telephone)
REVIEWED: January 11, 2010
ADOPTED: February 22, 2010
| 
