Wellsville Elementary Kindergarten Information Form
This form is for use of preliminary student information. You will fill out official school enrollment forms during the online enrollment process this summer.
Email address *
Child's Legal Last Name, First, Middle *
Birthday - Month/Day/Year (Child must turn 5 prior to August 31st) *
Gender *
Does your child have an IEP (Individual Education Plan) *
What is your child's primary language? *
Father's Name *
Mother's Name *
Student resides with: *
Primary custody is with? *
Students Address: *
City/Zip *
Student's main contact phone number: *
Residential parent's cell phone: *
Special Health Needs/Concerns *
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