Westside Elementary Kindergarten Registration
Please complete the form below to register your child for kindergarten for the 2020-2021 school year.

Your child must be five years of age by August 1st, 2020, in order to register. The following information will be required to complete registration when your child comes for kindergarten screening at a date to be determined.

1) Official birth certificate
2) Up to date shot record
3) Current kindergarten physical
4) Social Security card
5) Medicaid card, if applicable
6) Completed registration paperwork that will be given to you at screening.

Once screening dates and times are determined, you will be contacted by a staff member to make a screening appointment. If you have any questions, please call Westside Elementary at 479-214-8289 or 479-497-1088.

Student's Full Name *
Your answer
Sex *
Date of Birth (MM/DD/YYYY) *
Your answer
Social Security Number
Your answer
Ethnicity *
Parent/Guardian Name *
Your answer
Parent/Guardian relationship to student *
Your answer
Mailing Address *
Your answer
Physical Address (if different from mailing)
Your answer
Does your child live in the Westside School District? *
Parent/Guardian contact phone number *
Your answer
Parent/Guardian additional contact phone number *
Your answer
Parent/guardian email address
Your answer
Names, ages, grades of siblings
Your answer
Did you child attend preschool? If so, where?
Your answer
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