CCSD Residential Affidavit PDF Details

In navigating the intricacies of school enrollments within Clark County School District (CCSD), the Residential Affidavit form, CCF-792, emerges as a pivotal document for parents and guardians aiming to enroll their children in the district's schools under specific residential circumstances. Mandated by CCSD Regulation 5111, this affidavit requires the presentation of several important pieces of documentation alongside it, including government-issued photo identification and proofs of residence like current utility bills or a mortgage statement - with the notable exclusion of cable and telephone bills. The form operates under the principle of honesty regarding the residency information provided by the owner/renter of the property stating that the child(ren) and their parent/guardian indeed reside at the given address and that the address is not being used solely for school enrollment purposes. Signatures from both the property owner/renter and the parent/guardian, affirmed before a notary, cement the agreement, which must be renewed yearly. Additionally, the form highlights implications for students' participation in athletics as per Nevada Interscholastic Activities Association (NIAA) regulation, pointing out that students enrolled via a Residential Affidavit may face ineligibility for sports, although an appeal process is available but does not guarantee participation.

QuestionAnswer
Form NameCCSD Residential Affidavit
Form Length2 pages
Fillable?No
Fillable fields0
Avg. time to fill out30 sec
Other namesccsd residential, school district affidavit, ccsd affidavit, clark county school residential affidavit

Form Preview Example

9998-500792Clark County School District

RESIDENTIAL AFFIDAVIT

CCF-792 06/11

School: __________________________________________________ School Year: _______________________________

(Print school name)

(Print school year)

As required by CCSD Regulation 5111, the following documents, provided by the owner/renter of property, must be submitted to the school by the parent or guardian along with the residential affidavit:

Government-issued photo identification (e.g. driver’s license, state issued identification card, passport) AND

Current mortgage statement/rental lease agreement/rent receipt (apartment complex name must appear on receipt) OR

Current utility bill such as: gas, water, or electric (cable and/or telephone bills are not acceptable)

The following statement/agreement is to be completed by the owner/renter of property. Owner/renter of property and parent/guardian must sign form before a Notary:

Printed Name of Owner/Renter of PropertyPhone Number

 

 

Nevada

 

Address

City

State

Zip Code

I hereby state that currently the following school age child(ren) (print name(s) and grade level[s]):

____________________________________________________________________________________________________

and the parent/legal guardian(s) of said child(ren): ________________________________________________________

Print Name(s)

are residing with me, ________________________________________, at my place of residence.

Print Name

I further state that this family is NOT just using my address for the specific purpose of enrolling their child(ren)

at the above-mentioned school. I understand that if this statement is untrue, or if the living arrangements should change, the current school of enrollment will immediately withdraw this family’s child(ren) from the school. I further agree to notify the school upon termination of this residential agreement.

Signature of Owner/Renter of Property

Signature of Parent/Guardian

SUBSCRIBED and SWORN to before me this_________ day of _______________ , 20____, by

___________________________________AND ___________________________________

Owner/Renter of Property

Parent/Legal Guardian

NOTARY PUBLIC in and for the County of Clark, State of Nevada

Per Nevada Interscholastic Activities Association (NIAA) regulation NAC 386.782, students attending a school on

a Residential Affidavit are ineligible for athletic participation. Students may appeal this provision.

However, an appeal is not a guarantee of athletic eligibility.

THIS AGREEMENT MUST BE NOTARIZED AND RENEWED YEARLY

9998-500792Distrito Escolar Del Condado De Clark

DECLARACIÓN JURADA DE DOMICILIO

CCF-792 06/11

Escuela: _________________________________________________ Año Escolar: _______________________________

(Escribir en letra de molde el nombre de la escuela)

(Escriba en letra de molde el año escolar)

Como se exige en el Reglamento 5111 de CCSD, los siguientes documentos, proporcionados por el dueño/arrendatario de una propiedad, deben ser presentados en la escuela por el padre o tutor junto con la declaración jurada de residencia:

Identificación con foto emitida por el gobierno (por ejemplo, licencia de conducir, tarjeta de identificación del estado emitida por el gobierno, pasaporte) Y

Declaración actual de la hipoteca/Contrato de arrendamiento del alquiler/recibo del alquiler (el nombre del complejo de apartamentos debe aparecer en el recibo) O

Recibo de un servicio actual como: gas, agua o electricidad (no se aceptan recibos del cable y/o teléfono)

La siguiente declaración/acuerdo debe ser completada por el dueño/arrendatario de una propiedad. El dueño/ arrendatario de una propiedad y el padre/tutor deben firmar el formulario ante la presencia de un notario:

Escribir el Nombre del Dueño/Arrendatario de la Propiedad en Letra de Molde Número de Teléfono

 

 

Nevada

 

Domicilio

Ciudad

Estado

Código Postal

Por la presente afirmo que el siguiente niño(s) en edad escolar (escriba su nombre(s) y su nivel de grado(s) en Letra de Molde):

____________________________________________________________________________________________________

Y el padre/tutor(s) legal(es) del niño(s) mencionado: ______________________________________________________

Escriba su Nombre(s) en Letra de Molde

residen conmigo,___________________________________________ , en mi lugar de residencia.

Escriba el Nombre en Letra de Molde

Yo a continuación informo que esta familia NO está utilizando mi dirección con el propósito específico de inscribir a su hijo(s) en la escuela mencionada anteriormente. Entiendo que si esta declaración no es verdadera, o si la situación de la vivienda cambia, la escuela de inscripción actual inmediatamente dará de baja de la escuela al niño(s) de esta familia. A continuación estoy de acuerdo con notificar a la escuela al terminar este acuerdo de residencia.

Firma del Dueño/Arrendatario de la Propiedad

Firma del Padre/Tutor

FIRMADO Y JURADO ante mi este _________ día de ________________ , 20____, por

_____________________________________ Y ___________________________________

Dueño/Arrendatario de la Propiedad

Padre/Tutor Legal

NOTARIO PÚBLICO en y para el Condado de Clark, Estado de Nevada

Por la Asociación de Actividades Interescolares de Nevada (NIAA) reglamento NAC 386.782, los estudiantes asistiendo a la escuela bajo una Declaración Jurada de Residencia no cumplen con los requisitos para la participación atlética. Los estudiantes pueden apelar para esta disposición. Sin embargo, apelar no garantiza la elegibilidad atlética.

ESTE ACUERDO DEBE ESTAR NOTARIZADO Y SE DEBE RENOVAR ANUALMENTE

How to Edit CCSD Residential Affidavit Online for Free

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Step 1: Choose the button "Get form here" to access it.

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The following sections will help make up the PDF document:

ccsd residential affidavit form blanks to complete

Jot down the data in the Signature of ParentGuardian, SUBSCRIBED and SWORN to before me, AND, OwnerRenter of Property, ParentLegal Guardian, NOTARY PUBLIC in and for the, Per Nevada Interscholastic, and THIS AGREEMENT MUST BE NOTARIZED area.

ccsd residential affidavit form Signature of ParentGuardian, SUBSCRIBED and SWORN to before me, AND, OwnerRenter of Property, ParentLegal Guardian, NOTARY PUBLIC in and for the, Per Nevada Interscholastic, and THIS AGREEMENT MUST BE NOTARIZED blanks to insert

Point out the crucial details the Distrito Escolar Del Condado De, Escuela Año Escolar Escriba en, Escribir en letra de molde el, Como se exige en el Reglamento de, Identificación con foto emitida, identificación del estado emitida, Declaración actual de la, el nombre del complejo de, Recibo de un servicio actual como, La siguiente declaraciónacuerdo, Escribir el Nombre del, Número de Teléfono, and Nevada Estado box.

ccsd residential affidavit form Distrito Escolar Del Condado De, Escuela Año Escolar  Escriba en, Escribir en letra de molde el, Como se exige en el Reglamento  de, Identificación con foto emitida, identificación del estado emitida, Declaración actual de la, el nombre del complejo de, Recibo de un servicio actual como, La siguiente declaraciónacuerdo, Escribir el Nombre del, Número de Teléfono, and Nevada Estado fields to insert

Inside the part Por la presente afirmo que el, Y el padretutors legales del niños, Escriba su Nombres en Letra de, residen conmigo en mi lugar de, Escriba el Nombre en Letra de Molde, Yo a continuación informo que esta, Firma del DueñoArrendatario de la, Firma del PadreTutor, FIRMADO Y JURADO ante mi este día, DueñoArrendatario de la Propiedad, and PadreTutor Legal, describe the rights and obligations of the sides.

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