Gilmanton School Kindergarten Registration 2017-2018
Carol Locke Nancy Fournier Debra Bergeron Principal Director of Student Services Assistant Principal
Student's Last Name*
Your answer
Student's First Name
Your answer
Student's Middle Name
Your answer
Student's Gender
Student's Date of Birth
MM
/
DD
/
YYYY
Place of Birth
Town, State
Your answer
Race
Student resides with:
Your answer
Street Address:
Your answer
Town:
Your answer
P.O. Box:
Your answer
Zipcode:
Your answer
Parent/Guardian 1
Example: Mary Smith
Your answer
Parent/Guardian 2
Example: Paul Smith
Your answer
Home Phone:
Your answer
Parent/Guardian 1's Cell Phone:
Your answer
Parent/Guardian 2's Cell Phone:
Your answer
Primary Email Address:
Your answer
Secondary Email Address
Your answer
Relationship with student:
Required
Has your child attended...
Required
Submit
Never submit passwords through Google Forms.
This form was created inside of SAU79\Gilmanton School. Report Abuse - Terms of Service - Additional Terms