Pine Haven Kindergarten Roundup Form: General Student Information
Hello! This form will provide PHE with the primary information we need for your kindergartner. There are documents that will need to be submitted as part of the enrollment process, but a date will be organized in the future on which parents/guardians can come to the school and submit those documents. We are excited to have your student be a Miner!
First Name *
Your answer
Middle Name *
Your answer
Last Name *
Your answer
Birthdate *
MM
/
DD
/
YYYY
Gender *
Grade *
Nickname
Your answer
Hispanic/Latino Ethnicity *
Race *
Additional Races (check all that apply) *
Required
Language Spoken at Home *
Your answer
Student Email Address
Your answer
Student Home Phone *
Your answer
Student Cell Phone
Your answer
Next
Never submit passwords through Google Forms.
This form was created inside of Bauxite School District. Report Abuse