Form CCF-792 at a glance
What it is: Clark County School District RESIDENTIAL AFFIDAVIT, form CCF-792, 06/11.
Notary: The owner/renter of property completes the statement or agreement. The owner/renter of property and the parent/guardian must sign the form before a Notary.
As required by CCSD Regulation 5111, the owner/renter of property provides documents, and the parent or guardian must submit them to the school along with the residential affidavit.
A filled-in Form CCF-792 example: a renter signs for a family
How to fill out Form CCF-792, box by box
School and school year
Print the school name and print the school year.
Government-issued photo identification and current mortgage statement or utility bill
A government-issued photo identification (e.g. driver's license, state issued identification card, passport) AND a current mortgage statement, rental lease agreement or rent receipt (apartment complex name must appear on receipt) OR a current utility bill such as gas, water, or electric (cable and/or telephone bills are not acceptable) must be submitted.
Owner or renter of the property
Enter the Printed Name of Owner/Renter of Property, Phone Number, Address, City and Zip Code; Nevada is printed for the State.
The children and the parent or legal guardian
After "I hereby state that currently the following school age child(ren)", print the name(s) and grade level(s).
Print the name(s) of the parent/legal guardian(s) of said child(ren).
After "are residing with me,", print the Printed Name of Owner/Renter of Property.
I further state that this family is NOT just using my address for the specific purpose of enrolling their child(ren) at the 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.
Subscribed and sworn before a notary public
Sign the Signature of Owner/Renter of Property line and the Signature of Parent/Guardian line.
The NOTARY PUBLIC in and for the County of Clark, State of Nevada fills in the day of and 20 after "SUBSCRIBED and SWORN to before me this", by the Owner/Renter of Property AND the Parent/Legal Guardian.
More rules for Form CCF-792
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.
Common questions about Form CCF-792
Does a residency affidavit need to be notarized?
This agreement must be notarized and renewed yearly.
Sources
[1] Clark County School District Residential Affidavit, CCF-792 06/11 (the served file; no issuer file found) (the Official source link on this page).
