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District Office: 100 East Walnut Street. Roselle, IL 60172 | Phone: 630-529-2091 | Fax: 630-529-2467
Roselle School District 12
New Student Form
Please input the information below. You will need to prove residency and show student birth certificate in order to register .   Please call JoAnn Dumelle @ 630.529.2091 to make an appointment to prove residency and show birth certificate.  This is true for all new students, whether or not there are current siblings enrolled in District 12.  Thank you.

Student's First Name:
Student's Middle Name
Student's Last Name:
Date of Birth:
Enroll Grade:
Parent/Guardian First & Last Name:
Parent/Guardian E-mail:
Parent/Guardian Main Phone Number:
Please click here to view a list of acceptable documents for proving residency.
Your Name:
Your Email:

To validate your submission, please answer the following math problem:

9 + 3 =
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