Student Registration Forms

All registrations into the Brentwood School District require a Home Language Questionnaire to be completed. Please choose the appropriate language from below. Once, your application has been completed and all paperwork has been submitted, you will be contacted regarding this form:

English HLQ Form
Spanish HLQ Form
Urdu HLQ Form
Haitian HLQ Form

If you do not see your language, please contact the Registration Office at 631.434.2301 and let us know the language format that you require.

Original Birth Certificate or other official document deemed sufficient to establish age and parentage, such as:
• Baptismal Certificate
• Passport
        • Marriage certificate, custody, guardianship, divorce, separation and/or
              other related documents that establish parental relationship
• Hospital or health records
• School photo identification with date of birth
• Consulate identification card
• Military dependent identification card
• Documents issued by federal, state or local agencies: Local social service agency or                          Federal Office of Refugee Resettlement
• Court orders or other court-issued documents
• Native American tribal document
• Records from non-profit international aid agencies and voluntary agencies
• Other documentary evidence which can be used to determine a child’s age

Student Records
• Most recent report card and assessment results
• Current IEP/504, if applicable
• Form DSS-2999, if applicable
• Release of Records Form 

Certificate of Immunizations
All immunization dates are mandatory and must have a doctor’s stamp and signature.

Dental Examination Form
Please have your Dentist complete the form.

Health Form
Please note that NYSED requires a physical examination for new entrant students

Each student being registered needs the Health Summary filled out by the parent. These surveys are developed in two different categories:

Health Survey for grades: Pre-K -Third Grades

Health Survey for grades: Fourth -Twelfth Grades

According to NY State Law, in order to register your child in the School District, you must be physically domiciled at an address within the School District’s geographical boundaries.

• Primary Proof of Residence:
  • Home Owner: Current deed/mortgage statement or tax bill
  • Renter: Notarized Lease (Original) and NOTARIZED Landlord Affidavit  
     
• Supporting Proof of Residence: TWO of the following documents indicating address:
  • Residential utility bill (gas, water or electric) in the resident’s name issued by a utility company (ex. National Grid or LIPA), must be dated within the past 60 days    
  • Cable services bill provided to the residence including the name of the parent, the address of the residence and must be dated within the past 60 days       
  • Documentation or letter on letterhead from a federal, state, or local government agency, including the IRS, the federal Office of Refugee Resettlement (ORR), the Human Resources Administration, or the Administration for Children Services (ACS), or an ACS subcontractor, indicating the resident’s name and address and must be dated within the past 60 days       
  • Income tax form for the last calendar year       
  • Official payroll documentation from an employer issued within the past 60 days, such as a paystub with home address, a form submitted for tax withholding purposes, or payroll receipt (a letter on the employer’s letterhead is not adequate) and must include home address and be dated within the past 60 days       
  • Voter registration documents, which include the name of the parent or guardian and the address of residence      
  • Unexpired membership documents based upon residency (ex. neighborhood residents’ association, library, etc.), which include the name of the parent and the address of residence       
  • Evidence of custody of the child including judicial custody orders or guardianship papers issued within the past 60 days, which include the name of the student and guardian, and address of residence

• NYS Drivers License
• Non-driver photo ID
• NYS Identification Card
• Military Identification
• Passport
• Resident Card
• Other official identification deemed sufficient to establish identity

Anyone registering a student, except the parent(s), must provide proper documentation of child’s custody, including, but not limited to judicial custody orders or guardianship papers

In addition, please submit a:
• NOTARIZED CUSTODIAL AFFIDAVIT provided by the Brentwood School District

Any change of guardianship, custodial restrictions or other special circumstances requires specific documents be immediately provided to the District Office of Central Registration located at 52 Third Avenue, Brentwood, NY 11717. Please call the Office at 631 434 2301 to make an appointment. 



PLEASE NOTE THAT PARENT(S) AND STUDENT(S) MAY ALSO BE REQUIRED TO MEET WITH SCHOOL BUILDING PERSONNEL (GUIDANCE COUNSELOR OR TEACHERS) BEFORE STUDENT BEGINS CLASSES.

All foster parents must present at the time of registration of a foster child, a placement letter from the agency, on their letterhead indicating the foster parent’s name, date of birth and grade of each student to be registered. Agency must also include health history and dates of mandatory immunizations of each student, and a DSS 2999 form with CIN/Medicaid number, ACS or SOO number for each student.