All Student Services Forms


Student Enrollment

Affidavit of Birth      English    Spanish

Birth Verification Request

Student Residency Questionnaire    English      Spanish

Verification of Address Affidavit    English      Spanish

Health Requirements for School Entry (CHDP packet includes the following forms)

Report of Health Checkup for School Entry – PM-171A

Waiver of Health Checkup for School Entry – PM-171B

Oral Health Assessment/Waiver Request Form    English      Spanish

School Health Kindergarten Enrollment Form – HS-039401


Transitional Kindergarten / Kindergarten

NEW!!! 2018-19 School Year – Kindergarten Continuance Form – Parent Agreement for Student to Continue in Kindergarten    English    Spanish

2017-18 School Year – Kindergarten Continuance Form – Parental Agreement for Student to Continue in Kindergarten    English   Spanish

Waiver of Right to Enroll in Kindergarten    English   Spanish


Promotion / Retention

Retention Brochure    English       Spanish

Parent Notice Letter – At Risk for Retention    English      Spanish

Team for Student Success Forms

At Risk for Retention Documentation and Planning   English     Spanish

Recommendation for Grade Retention   English      Spanish

Individual Retention Plan

Grade Retention Documentation Checklist

Parent Denial of Grade Retention   English      Spanish

Request to Appeal Grade Promotion or Retention   English      Spanish



Student Records

NEW! Student Transfer Grades  (For school to school use)

Consent to Release Student Information       English     Spanish

Parental Request to Inspect and Review Pupil Education Records

Parental Request for Amendment of Education Records     English      Spanish

Record Log

Request for Student Records (For school to school requests only)

Prior Approval Excused Absence Request



Initiating an Administrative Hearing: A Worksheet for Site Level Preparation

Student Assistance Documentation

Student Search Checklist

Suspension and Expulsion Checklist: Pupil With Disability

Suspension Checklist: Student Without Known or Suspected Disability

Sworn Statement in Place of Appearance (English & Spanish)



McKinney-Vento Homeless Referral Form

Student Residency Questionnaire    English    Spanish




SCAR (Suspected Child Abuse Report) Form

Metal Detection Administration Plan and Report

Photo/Video Release (English & Spanish)

Release of Custody of, or Interview by, a Peace Officer

Authorization for Interview by Child Protective Services Agent

Telephone Bomb Threat

Victim of Violent Crime Letter (WORD doc)

Volunteer Assistance Form: Instructional and Non-teaching Volunteers   English     Spanish



Nondiscrimination Policy

Bakersfield City School District programs, activities, and practices shall be free from unlawful discrimination, including discriminatory harassment, intimidation, and bullying based on actual or perceived characteristics of race or ethnicity, color, ancestry, nationality, national origin, ethnic group identifications, age, religion, marital or parental status, physical or mental disability, sex, sexual orientation, gender, gender identity, gender expression, or genetic information or any other characteristic identified in Education Code 200 or 220, Penal code 422.55, or Government Code 11135, or based on association with a person or group with one or more of these actual or perceived characteristics. If you believe you have been subjected to discrimination, harassment, intimidation, or bullying, you should immediately contact the school site principal and/or the District’s Human Resource Administrator, at 661-631-4663, or at 1300 Baker Street, Bakersfield, California 93305. A copy of BCSD’s Uniform Complaint Procedures and Non-Discrimination policies are available by clicking here and/or upon request.