Y5's/Kindergarten Registration 2021-2022
Attention parents of 2021-2022 Y5s/Kindergarten students: Please complete this short form to begin the enrollment process for your child. We will use this data to reach out further when we know and need more information.

Please plan to attend a virtual presentation from our elementary building principals (Scott VanBonn and Amy Mielke) on Wednesday, March 24 at 6:00 pm. You will be emailed a zoom link prior to attending.

Thank you, and we look forward to meeting you!
Student First Name *
Student Middle Name *
Student Last Name *
Student Last Name Suffix (if applicable - ie: "Jr", "III")
Date of Birth *
Gender *
Student Mailing Address *
Parent(s) First Name *
Parent(s) Last Name *
Parent email address *
Parent Phone Number *
Siblings in District? *
If yes, please list first name, last name and grade
Has this student received Special Education services? *
If yes, please describe (Speech and Language Services, OT, PT, etc)
What was the child's primary form of care for the last year? Check up to 3 relevant choices. (If the child was primarily at home during the last year, please check No Prior Care.) *
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