Basic Information
Thank you for completing this form. This is not a full registration. We will contact you in July or August through the information provided.

Prior to completing enrollment, we will need the following documents in August:
-- A copy of your child's birth certificate
-- Proof of Residency (Utility Bill or like item with your name and physical address)
-- A copy of your child's immunization record
Child's Full Name *
Your answer
Child's Birth Date (Month, Day, Year) *
To be eligible for kindergarten, children must be 5 by August 31, 2020
Your answer
Child's Gender *
Parent/Guardian Names *
Your answer
Parent/Guardian Phone Number *
Your answer
Parent/Guardian Email *
Your answer
Physical Address *
Your answer
Mailing Address *
Your answer
Other Information *
Yes
No
Are Special Services needed or currently received?
Is there a Parenting Plan on File?
Are there any No Contact Orders
If you answered yes to any above, please explain
Your answer
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