Basin School District Preschool Registration 2025-2026
If this is your first time enrolling a child at Basin, we would like to extend a warm welcome! Please use this form to start the registration process for your student. Once this form is submitted, we will contact you with additional information and paperwork.  If you have additional questions, you can also contact Principal, Jamie Pilkerton at jpilkerton@basinschools.net.
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Email *
Student's First Name *
Student's Middle Name
Student's Legal Last Name *
Student's Date of Birth *
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Student's Gender
Student's Grade Level for 2025-2026
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Mother's Full Name *
Mother's Email Address *
Mother's Phone Number *
Father's Full Name *
Father's Email Address *
Father's Phone Number *
Student's Primary Home Mailing Address
 *
Student's Primary Street Address
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City, State, Zip Code of Address *
Which area of the district does your child live?
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Which response best matches your child's living arrangement?
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Additional Information
Is your child receiving services through the Department of Health and Welfare's Infant Toddler program?
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Do you have any concerns about your child's development?
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Please feel free to elaborate on any of the responses above.
General Questions or Comments
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