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Gilmanton School Kindergarten Registration 2018-2019
Carol Locke Nancy Fournier Debra Bergeron Principal Director of Student Services Assistant Principal
Student's Last Name *
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Student's First Name *
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Student's Middle Name *
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Student's Gender *
Student's Date of Birth *
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Place of Birth *
Town, State
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Race
Student resides with: *
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Street Address: *
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Town: *
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P.O. Box:
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Zipcode: *
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Parent/Guardian 1 *
Example: Mary Smith
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Parent/Guardian 2 *
Example: Paul Smith
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Home Phone:
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Parent/Guardian 1's Cell Phone:
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Parent/Guardian 2's Cell Phone:
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Primary Email Address: *
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Secondary Email Address
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Relationship with student: *
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Has your child attended... *
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