North Adams Public Schools Kindergarten Registration for Fall 2021 (Submit one form per student)
PLEASE READ BEFORE CONTINUING:
CURRENT North Adams Public Schools Pre-K students DO NOT need to register for Kindergarten in the Fall.
If you have any questions, trouble with the form, or if it's more convenient for you to contact NAPS directly, please call Bobbi Tassone at 413-776-1666 or email at
btassone@napsk12.org
.
*** PLEASE NOTE that new Kindergarten daycare waiver requests cannot be approved until mid-August. ***
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* Required
Email
*
Your email
Has this student ever attended one of the North Adams Public Schools PreK or Kindergarten classes in the past? (Head Start is not considered part of NAPS PreK)
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Yes
No
If you answered YES, what school, and when? (Skip if you answered NO)
Your answer
Was this student previously enrolled in Kindergarten in a different school district and transferring to North Adams? If YES, please list the full name and address of that school here.
Your answer
EARLY CHILDHOOD EDUCATION EXPERIENCE: Please mark ONE box next to the option that best describes your child's preschool experience in the school year PRIOR to entering Kindergarten. Please read each one CAREFULLY, as some reflect more than one program option and different number of hours.
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My child did not have any formal early childhood education program experience (was at home with parent(s) or was cared for by another family member/friend)
My child did not have any formal early childhood education program experience, but participated in Coordinated Family and Community Engagement (locally based parent/child playgroups, parent/child activities)
My child did not have any formal early childhood education program experience, but participated in Parent/Child Home Program Services (Home visiting program funded through the Department of Early Education and Care)
My child did not have any formal early childhood education program experience, but participated in BOTH Coordinated Family and Community Engagement AND Parent/Child Home Program Services
My child was in a Licensed Family Home Child Care (EEC licensed child care in a group setting in a private home) for LESS than 20 hours per week
My child was in a Licensed Family Home Child Care (EEC licensed child care in a group setting in a private home) for 20 hours or more per week
My child attended a Center Based Program (care in a group setting including public and private preschools, Head Start, YMCA, Monument Square, other daycare centers and integrated public preschools) for LESS than 20 hours per week
My child attended a Center Based Program (care in a group setting including public and private preschools, Head Start, YMCA, Monument Square, other daycare centers and integrated public preschools) for 20 hours or more per week
My child attended BOTH a Licensed Family Home Child Care AND a Center Based Program for LESS than 20 hours per week combined
My child attended BOTH a Licensed Family Home Child Care AND a Center Based Program for 20 hours or more per week combined
If your child attended a Center Based program, please let us know which one.
Head Start
YMCA
Monument Square
Williamstown Community Preschool
Other
Clear selection
While we fully anticipate that the Fall School Year will be back to 5 full days of in-person learning, if that changes, do you prefer this student to enroll as "REMOTE ONLY" (Fully learning at home) or "HYBRID" (attending school in-person, part-time, remotely the rest)?
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REMOTE ONLY - Fully learning at home
HYBRID - Attending school in-person, part-time (this will be contingent upon available room in the class at the time of enrollment due to COVID restrictions)
IF we have to have some remote learning time in the fall, does this student already have a device to use at home during those remote learning times, or will a device need to be borrowed from the School District?
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Student has a device to use already
Student will need to borrow a device
Will this student require bus transportation, or will someone be dropping off/picking up from school?
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Yes, we will need the bus
No, we do not need the bus - someone will provide transportation
If you answered YES to needing bus transportation, please provide the address where your child will be picked up and dropped off (must be the same address for both - we cannot pick up and drop off at 2 different places)
Your answer
Student's FULL LAST Name
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Your answer
Student's FULL FIRST Name
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Your answer
Student's FULL MIDDLE Name (if no middle name please enter NMN)
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Your answer
Student's Date of Birth
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MM
/
DD
/
YYYY
Gender
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Female
Male
Non-Binary
City or Town of Birth
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Your answer
Student Ethnicity - Is this student Hispanic or Latino?
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Yes
No
Student Race: (Please check ALL that apply)
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Asian
American Indian or Alaskan Native
Black or African American
Native Hawaiian or Other Pacific Islander
White
Required
Primary Home Phone Number - PLEASE USE DASHES (xxx-xxx-xxxx)
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Your answer
Physical Street Address
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Your answer
City
*
Your answer
State
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Your answer
Zip Code
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Your answer
If you have a different MAILING address, please provide the street, city, state and zip code
Your answer
Who does the student live with? Check the best answer, and then fill in the following parent contact information sections as applicable. (scroll down several places for Guardian information if student does not live with parents)
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Both Parents
Primarily or Only with Mother
Primarily or Only with Father
Legal Guardian (documentation will be required prior to enrollment)
Required
Parent 1 or Mother's Name (Last, First)
Your answer
Parent 1 or Mother's Full Address (if different from Student)
Your answer
Parent 1 or Mother's Home Phone Number - PLEASE USE DASHES (xxx-xxx-xxxx)
Your answer
Parent 1 or Mother's Cell Phone Number - PLEASE USE DASHES (xxx-xxx-xxxx)
Your answer
Parent 1 or Mother's Daytime/Work Phone Number - PLEASE USE DASHES (xxx-xxx-xxxx)
Your answer
Parent 1 or Mother's Email Address
Your answer
Parent 2 or Father's Name (Last, First)
Your answer
Parent 2 or Father's Full Address (if different from Student)
Your answer
Parent 2 or Father's Home Phone Number - PLEASE USE DASHES (xxx-xxx-xxxx)
Your answer
Parent 2 or Father's Cell Phone Number - PLEASE USE DASHES (xxx-xxx-xxxx)
Your answer
Parent 2 or Father's Daytime/Work Phone Number - PLEASE USE DASHES (xxx-xxx-xxxx)
Your answer
Parent 2 or Father's Email Address
Your answer
If Student does not live with Parent(s), Name of Legal Guardian (Last, First)
Your answer
Is this a foster care placement?
YES
NO
Clear selection
Legal Guardian's Full Address
Your answer
Legal Guardian's Home Phone Number - PLEASE USE DASHES (xxx-xxx-xxxx)
Your answer
Legal Guardian's Cell Phone Number - PLEASE USE DASHES (xxx-xxx-xxxx)
Your answer
Legal Guardian's Daytime/Work Phone Number - PLEASE USE DASHES (xxx-xxx-xxxx)
Your answer
Legal Guardian's Email Address
Your answer
Are there any custody issues we need to be aware of? If YES, please explain below. (Legal documentation will be required)
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Your answer
Does Student have any siblings that CURRENTLY attend North Adams Public Schools?
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Yes
No
Required
If you answered YES, Please List Full Name(s) and Grade Level(s) of Sibling(s) who CURRENTLY attend North Adams Public Schools, or who you will be enrolling in addition to this student.
Your answer
Please provide full names, phone numbers and relationship to this student, of AT LEAST 2 other Emergency Contacts - OTHER THAN PARENT(S)/GUARDIAN(S) - that the school may call if not able to contact you in an emergency to pick up your child.
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Your answer
Academic Information: Please check ALL applicable boxes below, and be prepared to provide copies, if noted.
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Student is on an Individual Educational Plan (IEP) or receiving Special Education Services. (Please provide a copy)
Student is on a 504 plan. (Please provide a copy)
Student receives Counseling Services.
Student currently receives English Language Services (ELL).
NONE OF THE ABOVE
Required
Is this student involved with any other outside agencies? If YES, explain below.
Your answer
Are there any behavioral concerns that may affect school progress? If YES, explain below.
Your answer
Does your child have any allergies that the school needs to know about? (Foods, Latex, Insects, etc?)
Your answer
NOTICE OF POSSIBLE PUBLICATION OF STUDENT INFORMATION: Do you give consent for your child's information to be publicized (such as awards, honors, school celebrations, etc. in the form of photos or written publications)? If you choose NO, you must provide the school with a written letter stating such, and NO information will be publicized about your child. If you choose YES, you are also (by law) consenting to Section 9528 (Armed Forces Recruiter Access to Students and Student Recruiting Information on the No Child Left Behind Act) which requires schools receiving assistance under the Elementary and Secondary Education Act of 1965 to provide students' names, addresses and telephone numbers to military recruiters when age required.
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Yes
No (You must also submit a written letter to the school)
MILITARY FAMILY STATUS (In compliance with the Massachusetts Valor Act) Please check all that apply. Is this student a child of:
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An active duty member of the uniformed services or National Guard member on active duty?
A service member who was medically discharged or retired within THE PAST YEAR?
A service member who died while on active duty?
NONE OF THE ABOVE
Required
There are some additional documents we will need to complete enrollment, and you will be contacted for those separately. Do you have the ability to take a clear picture or scan/copy and email these documents to the school district? (Such as proof of residency documents, birth certificates, etc?) If you do not, other arrangements for submitting these documents will be made.
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Yes
No
By typing my name below, I certify that the responses provided are accurate and complete as specified by Massachusetts General Law. I understand that failure to disclose or to misrepresent any of the required information may result in my student's exclusion from North Adams Public Schools. I have read and understand the registration and residency requirements of North Adams Public Schools and I am aware that it is my obligation to inform my child's school if there is a change in the residency of my family or guardianship of my child.
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Your answer
Relationship to child
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Your answer
Send me a copy of my responses.
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