Bloomfield Central School District

Student Registration

Thank you for your interest in the Bloomfield Central School District. To standardize the registration process, we ask that you provide the following information along with the attached registration paperwork. If you need copies of PDFs, have questions, or require documents in Spanish, please contact Kristin Warren at 585-657-6121, ext. 4004.

SchoolTool Online Registration Form
- Make sure to add student emergency contacts as part of the process.
Printable Student Registration Form (if you do not use the online form in Step 1)
- See below.
A copy of the student's birth certificate
Proof of Residency
- Please bring evidence of proof of residency as described in the box to the right.
Request for Permanent Records (for students moving into the District only)
- A fillable PDF is provided below, or you can request a paper copy of this document.
Over-the-Counter Medication Form
- A fillable PDF is provided below, or you can request a paper copy of this document.
Authorization for Use or Disclosure of Protected Health Information Form
- A fillable PDF is provided below, or you can request a paper copy of this document.
Bloomfield Central School Health History Questionnaire
- A fillable PDF is provided below, or you can request a paper copy.
Transportation Form
- A PDF is provided below, or you can request a paper copy of this document.
Complete the Online Student Publishing Form for each student you are enrolling:
If you have elementary-aged students, complete the Elementary School Hand Sanitizer Permission Form here.
If there is custody paperwork the district should be aware of, please provide a copy of the most recent court documentation.
Technology Responsible Use Agreement
- See the documents below.
Home Language Questionnaire
- See below; one is in English and one is in Spanish.
McKinney-Vento House Information Form
- See below.

Proof of Residency

Please submit evidence establishing your and your child's physical presence in the school district. Such evidence may include:

1. A copy of a residential lease or proof of ownership of a house or condominium, such as a deed or mortgage statement.

2. Such a statement by a third party establishing the parent(s)' or person(s) in parental relation's physical presence in the district.

If the documentation listed above is not available, the District will consider other forms of documentation, which may include, but will not be limited to:

pay stub;
income tax form;
utility or other bills;
membership documents (e.g.. library cards) based on residency;
State or other government-issued identification;
documents issued by federal, state, or local agencies (e.g., local social service agency, federal Office of Refugee Resettlement); or
evidence of custody of the child, including but not limited to judicial custody orders or guardianship papers.

The District may also require the parent(s) to provide an affidavit either;

1. indicating that they are the parent(s) with whom the child lawfully resides; or

2. indicating that they are the person(s) in parental relation to the child, over whom they have total and permanent custody and control, and describing how they obtained total and permanent custody and control, whether through guardianship or otherwise.

The District will also accept other proof, such as documentation indicating that the child resides with a sponsor with whom the child has been placed by a federal agency.