Kindergarten Pre-Registration Form
This pre-registration form begins the process for registering your student for kindergarten at MSD of Steuben County Schools! Please note that you will still need to provide physical copies of your child's birth certificate, proof of residency, etc. Additionally, out of district students will be required to complete the appropriate paperwork. In-person kindergarten testing will be arranged at a later date.
Student First Name (as shown on birth certificate) *
Your answer
Student Middle Name (as shown on birth certificate) *
Your answer
Student Last Name (as shown on birth certificate) *
Your answer
Date of Birth *
MM
/
DD
/
YYYY
Gender *
Federal Ethnicity *
Home Phone Number (with area code) *
Your answer
Home Address *
Your answer
Mailing Address (if different from Home Address)
Your answer
School District of Legal Residence *
Your answer
Father's Name (First Last) *
Your answer
Father's Daytime Phone Number *
Your answer
Father's Employer *
Your answer
Father's Home Phone Number *
Your answer
Mother's Name (First Last) *
Your answer
Mother's Daytime Phone number *
Your answer
Mother's Employer *
Your answer
Mother's Home Phone Number *
Your answer
Second Parent Address (if applicable)
Your answer
Guardian's Name (if other than mother or father)
Your answer
Guardianship: Student Lives With *
Does Student live with Parent(s)/Guardian? *
Guardian email (main email for contact) *
Your answer
County of Legal Residence *
Your answer
Is your student of non-US origin? *
If non-US origin, what is the country of origin?
Your answer
Does your student receive speech or special education services? *
Student's Native Language (if other than English). If English, please skip this question!
Your answer
Names of siblings in the district (First Name, Last Name, School)
Your answer
Does your student have siblings at one of our elementary buildings? Please note that your student will attend the same elementary school as sibling(s) unless special education services are required that the sibling's school is unable to provide. Students without siblings will be placed at a building based upon class size. *
If yes, which building does the sibling(s) attend?
Please give your first choice for elementary school building. *
Please give your second choice for elementary school building. *
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