SCD 2026-2027 Registration


163 Behring St. Berne, Indiana 46711
(260) 849-1589 
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Email *
ONE REGISTRATION FORM PER STUDENT-
*A $35 ONE TIME Registration Fee is required upon completion for NEW students...
Student's First Name *
Student's Last Name *
Student's Birthday *
Date
Student's STREET Address *
Student's CITY/TOWN *
Student's STATE *
Student's ZIP CODE *
Guardian's First & Last Name (Primary Emergency Contact) *
Guardian's Phone Number (Primary Emergency Contact) *
Secondary Emergency Contact First & Last Name
Secondary Emergency Contact Phone Number
Does your child have any diagnosed mental and/or physical health conditions? *
If yes, please list below...
Are you a NEW or RETURNING student? *
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