Kimberly Area School District Census
As a public school district, we are required to maintain a census of all residents up to
the age of 21 living within the Kimberly Area School District.

PLEASE HELP US BY COMPLETING THE INFORMATION BELOW AND SUBMITTING THIS FORM

Mother's Legal Name (first, middle, last):
Your answer
Complete Address:
Your answer
Phone Number:
Your answer
email address
Your answer
Father's Legal Name (first, middle, last):
Your answer
Complete Address (if different):
Your answer
Phone Number
Your answer
email address
Your answer
Next
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