Kindergarten 2024-2025 Information Night March 6 6-7pm

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Family Information Sheet

Email *

Student First Name *

Student Last Name *

Date of Birth - MUST be 5 on or before September 1, 2024 *

YYYY

1. Parent/Guardian Name *

1. Parent/Guardian Phone Number - ( ) ___ - ____ *

2. Parent/Guardian Name

2. Parent/Guardian Phone Number

Address, City and Zip - MUST BE RESIDENT OF PENNOYER DISTRICT *

Best email *

Language Spoken at Home *

Does child speak English *

Yes

Do they currently have a sibling at Pennoyer? *

Yes

Name of Sibling at Pennoyer - First/Last Name

Special Services Needed? *

Speech

Occupational Therapy

Physical Therapy

Early Intervention

N/A

Has your child previously attended Pre-School *

Yes

Name and city of Preschool

Has your child previously attended Day Care

Yes

Clear selection

Name and city of Day Care

Additional Comments

A copy of your responses will be emailed to the address you provided.

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