Bellaire Elementary Kindergarten Registration 2022-2023
Students must be 5 years old on or before August 1

Screening appointments will be scheduled between May 23-25. You will need to bring the following to screening:

-child
-child's birth certificate
-immunization/vaccination records
-proof of residency
-any court documents concerning custody of the child, if applicable

Call 740-676-1272 will any questions
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Student's Name *
Gender of Student *
Address *
Student Birthdate *
Birth City *
Ethnicity *
Language *
Phone number *
Email Address *
Names of siblings in the district (type none, if none) *
Mother/Guardian Name *
Mother Maiden Name *
Phone number *
Father's Name
Phone number
What is the students current living situation? *
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