Please read and sign the statement below:
I am a resident of Dinwiddie County and live in the district in which I am registering. I realize that any person making a false statement concerning the residency of a child in a particular school division shall be guilty of a Class 4 misdemeanor pursuant to the Code of Virginia: 22.1-264.1. If there are custody issues regarding this child, I will provide a copy of the custody order and visitation rights. I also certify that this child is a student in good standing (not suspended or expelled from any public/private school, nor found guilty of or is an adjudicated delinquent for any offense in subseciton G of the Code of Virginia: 16.1-260)