Out of Boundary Request Out of Boundary Transfer Request This form is for students who wish to attend a school that is out of their designated school boundaries. "*" indicates required fields Out of boundary approval and enrollment in any of our schools DOES NOT imply athletic eligibility English EspaƱol Does the student currently attend a school in the Alpine School District?* Yes No Birth Date*MM123456789101112DD12345678910111213141516171819202122232425262728293031YYYY2025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Current Grade*Select...Pre-K/Will Be Entering KindergartenKindergarten123456789101112Grade Entering Next School Year*Select...Kindergarten123456789101112 Prior to filling out the Out of Boundary request form you will need your child's student identification number. If you do not know your child's student identification number, it is the same number they would use for lunch, you can contact the school they have been attending to get the number, or you can login to your child's Skyward account. Antes de llenar este formulario necesita tener el numero de estudiante para su hijo o hija. Si no sabe el numero de estudiante, es el mismo numero que se usa para el almuerzo, se puede contactar a la escuela donde asiste actualmente su estudiante, o se puede acceder a Skyward a la cuenta de su estudiante. Student Number The student number will be 6-8 digits longVerify StudentHiddenIs Student ID Valid? Yes No N/A HiddenGeneral InformationHidden I understand that if/when this out of boundary request is approved, my student's records will be transferred to the requested school. Please select the enrollment year for which you are applying for an Out of Boundary transfer.* 2024-25 2025-26 HiddenToday's Date Is your student requesting an out of boundary transfer to an Elementary school or a Jr. High/High school?*If your student is transferring from an elementary school to a Jr. High/Middle school, please select Jr. High/High School. Elementary Jr. High/High School HiddenDo you have a preference for which track your student is on? (If applicable) Track A (early) Track B (late) Student Name* First Last Student Address* Street Address City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Parent Phone Number*School District the student is transferring from.* School the student is transferring from.* Current School*Type to search...101 - Harbor Point Elementary School103 - Alpine Elementary School107 - Aspen Elementary School110 - Desert Sky Elementary112 - Barratt Elementary School113 - Liberty Hills Elementary114 - Belmont Elementary115 - Black Ridge Elementary117 - Bonneville Elementary School121 - Cascade Elementary School123 - Cedar Ridge Elementary School125 - Cedar Valley Elementary School129 - Central Elementary School134 - Cherry Hill Elementary School138 - Deerfield Elementary School139 - Dry Creek Elementary140 - Eaglecrest Elementary School141 - Eagle Valley Elementary School144 - Foothill Elementary School145 - Forbes Elementary School147 - Fox Hollow Elementary148 - Freedom Elementary School152 - Silver Lake Elementary161 - Greenwood Elementary School166 - Grovecrest Elementary School170 - Harvest Elementary171 - Hidden Hollow Elementary172 - Highland Elementary School183 - Legacy Elementary School187 - Lehi Elementary School191 - Lindon Elementary School196 - Manila Elementary School200 - Meadow Elementary School201 - River Rock Elementary202 - Springside Elementary203 - Brookhaven Elementary204 - Mount Mahogany Elementary205 - Mountain Trails Elementary206 - Trailside Elementary School207 - North Point Elementary209 - Northridge Elementary School212 - Orchard Elementary School215 - Orem Elementary School216 - Parkside Elementary217 - Pony Express Elementary School218 - Ridgeline Elementary219 - Riverview Elementary220 - Rocky Mountain Elementary222 - Sage Hills Elementary223 - Saratoga Shores Elementary226 - Centennial Elmentary School232 - Sego Lily Elementary School242 - Shelley Elementary School247 - Snow Springs Elementary School256 - Thunder Ridge Elementary258 - Traverse Mountain Elementary271 - Vineyard Elementary School275 - Westfield Elementary School277 - Westmore Elementary School286 - Windsor Elementary School299 - Alpine Online405 - American Fork Jr High School411 - Canyon View Junior High School417 - Frontier Middle School423 - Lakeridge Junior High School435 - Viewpoint Middle School441 - Lehi Junior High School450 - Lake Mountain Middle School459 - Orem Junior High School478 - Pleasant Grove Junior High485 - Oak Canyon Junior High School488 - Timberline Middle School490 - Vista Heights Middle School494 - Mountain Ridge Jr High School496 - Willowcreek Middle School704 - American Fork High School721 - Cedar Valley High School735 - Lehi High School737 - Lone Peak High School739 - Mountain View High School754 - Orem High School779 - Pleasant Grove High School782 - Polaris High School785 - Skyridge High School786 - Timpanogos High School789 - Westlake High School790 - East Shore High School792 - Alpine Summit808 - Horizon School810 - Dan W. Peterson SchoolBoundary Jr. High/Middle School*Type to search...405 - American Fork Jr High School411 - Canyon View Junior High School417 - Frontier Middle School423 - Lakeridge Junior High School435 - Viewpoint Middle School441 - Lehi Junior High School450 - Lake Mountain Middle School459 - Orem Junior High School478 - Pleasant Grove Junior High485 - Oak Canyon Junior High School488 - Timberline Middle School490 - Vista Heights Middle School494 - Mountain Ridge Jr High School496 - Willowcreek Middle SchoolRequested School*Type to search...101 - Harbor Point Elementary School103 - Alpine Elementary School107 - Aspen Elementary School110 - Desert Sky Elementary112 - Barratt Elementary School113 - Liberty Hills Elementary114 - Belmont Elementary115 - Black Ridge Elementary117 - Bonneville Elementary School121 - Cascade Elementary School123 - Cedar Ridge Elementary School125 - Cedar Valley Elementary School129 - Central Elementary School134 - Cherry Hill Elementary School138 - Deerfield Elementary School139 - Dry Creek Elementary140 - Eaglecrest Elementary School141 - Eagle Valley Elementary School144 - Foothill Elementary School145 - Forbes Elementary School147 - Fox Hollow Elementary148 - Freedom Elementary School152 - Silver Lake Elementary161 - Greenwood Elementary School166 - Grovecrest Elementary School170 - Harvest Elementary171 - Hidden Hollow Elementary172 - Highland Elementary School183 - Legacy Elementary School187 - Lehi Elementary School191 - Lindon Elementary School196 - Manila Elementary School200 - Meadow Elementary School201 - River Rock Elementary202 - Springside Elementary203 - Brookhaven Elementary204 - Mount Mahogany Elementary205 - Mountain Trails Elementary206 - Trailside Elementary School207 - North Point Elementary209 - Northridge Elementary School212 - Orchard Elementary School215 - Orem Elementary School216 - Parkside Elementary217 - Pony Express Elementary School218 - Ridgeline Elementary219 - Riverview Elementary220 - Rocky Mountain Elementary222 - Sage Hills Elementary223 - Saratoga Shores Elementary226 - Centennial Elmentary School232 - Sego Lily Elementary School242 - Shelley Elementary School247 - Snow Springs Elementary School256 - Thunder Ridge Elementary258 - Traverse Mountain Elementary271 - Vineyard Elementary School275 - Westfield Elementary School277 - Westmore Elementary School286 - Windsor Elementary School299 - Alpine Online405 - American Fork Jr High School411 - Canyon View Junior High School417 - Frontier Middle School423 - Lakeridge Junior High School435 - Viewpoint Middle School441 - Lehi Junior High School450 - Lake Mountain Middle School459 - Orem Junior High School478 - Pleasant Grove Junior High485 - Oak Canyon Junior High School488 - Timberline Middle School490 - Vista Heights Middle School494 - Mountain Ridge Jr High School496 - Willowcreek Middle School704 - American Fork High School721 - Cedar Valley High School735 - Lehi High School737 - Lone Peak High School739 - Mountain View High School754 - Orem High School779 - Pleasant Grove High School782 - Polaris High School785 - Skyridge High School786 - Timpanogos High School789 - Westlake High School790 - East Shore High School792 - Alpine Summit808 - Horizon School810 - Dan W. Peterson SchoolDoes the student currently have a sibling attending the requested school?* Yes No You've selected a school that is currently closed to out of area students. Please use the field below to explain the reason for your request or select a different school. Reason For Request*Does your student currently have an IEP?* Yes No Is your student currently in the Special Education Life Skills/Special Class program?*A student in the Life Skills program will be reviewed by Special Education in order to determine if the requested school can meet your student's needs. Yes No Has the student ever been suspended or expelled from a public school?*A student may be denied an open enrollment opportunity if the student has been suspended or expelled from a public school consistent with 53G-6-403 Yes No Reason for suspension or expulsion*HiddenCurrent PrincipalHiddenRequested PrincipalHiddenCurrent Registrar HiddenBoundary Registrar HiddenRequested Registrar * I understand that all transfer requests are contingent on early enrollment school capacity ("maximum capacity") or late enrollment school capacity ("adjusted capacity"), special program limitations, staff availability, and/or circumstances under 53A-2-207(4)(c). If this request is granted, I agree to leave my child at the requested school through the end of the requested school year. * I understand that a request may be denied in cases where the student has a history of serious behavior problems, been suspended or expelled, or where the school/grade level has been declared closed to out of boundary requests. * I understand that students admitted to an out of boundary school may remain enrolled without a renewed application for attendance in subsequent years at the school unless any of the following occurs: The student graduates; Is no longer a Utah resident; or the district determines that enrollment will exceed the open enrollment threshold. * I understand that I, as parent or guardian, am responsible for transportation of my student to and from school and that my child is not eligible for district busing. * I understand that my student may not be eligible to participate in Utah High School Activities Association (UHSAA) activities based on the UHSAA school transfer rules and policies. For more information please contact the UHSAA. * I understand that any falsification of information on this form will result in cancellation of out of boundary transfer. HiddenSignatureSignatureName* First Last Email* Signed: 12/11/2024 From: 162.158.78.37 Form: Out of Boundary RequestHiddenResident School Principal Email I understand that if/when this Out Of Boundary request is approved, I must contact the requested school to complete the application process. When completed, my student's records will be transferred.* I understand Please verify you are not a robot