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Kindergarten 2024-2025 Information Night March 6 6-7pm
Family Information Sheet
* Indicates required question
Email
*
Your email
Student First Name
*
Your answer
Student Last Name
*
Your answer
Date of Birth -
MUST be 5 on or before September 1, 2024
*
MM
/
DD
/
YYYY
1. Parent/Guardian Name
*
Your answer
1. Parent/Guardian Phone Number - ( ) ___ - ____
*
Your answer
2. Parent/Guardian Name
Your answer
2. Parent/Guardian Phone Number
Your answer
Address, City and Zip -
MUST BE RESIDENT OF PENNOYER DISTRICT
*
Your answer
Best email
*
Your answer
Language Spoken at Home
*
Your answer
Does child speak English
*
Yes
No
Do they currently have a sibling at Pennoyer?
*
Yes
No
Name of Sibling at Pennoyer - First/Last Name
Your answer
Special Services Needed?
*
Speech
Occupational Therapy
Physical Therapy
Early Intervention
N/A
Has your child previously attended Pre-School
*
Yes
No
Name and city of Preschool
Your answer
Has your child previously attended Day Care
Yes
No
Clear selection
Name and city of Day Care
Your answer
Additional Comments
Your answer
A copy of your responses will be emailed to the address you provided.
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