2021-2022 Kindergarten and The Learning Lamp Pre-Kindergarten Pre-Registration Survey
We are currently accepting Pre-Registration for Kindergarten and The Learning Lamp Pre-Kindergarten children for the 2021-2022 school year for the Everett Area School District. Please complete and submit form. We will contact you at a later date to schedule an appointment to complete registration for your child. You will need the following documents to complete the registration: child's birth certificate, (2) proof of residency, immunization records and custody papers if applicable. If you are Pre-Registering for The Learning Lamp pre-Kindergarten, we will forward your information on to The Learning Lamp for them to contact you.
* Required
I am registering my child for:
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Kindergarten
The Learning Lamp Pre-Kindergarten
Child's Full Name (First, Middle, Last)
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Your answer
Child's Birth Date (must be 5 years old before September 1, 2021 for kindergarten and must be 4 years old before September 1, 2021 for pre-kindergarten)
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MM
/
DD
/
YYYY
Child's primary address (Physical Address)
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Your answer
Child's mailing address if different than above
Your answer
Parent/Guardian's Name
*
Your answer
Relationship to child
Father
Mother
Guardian
Foster Parent
Clear selection
Parent/Guardian's Name
Your answer
Relationship to child
Father
Mother
Guardian
Foster Parent
Clear selection
Parent/Guardian's Best Contact Phone Number during the hours of 8:00 a.m. to 4:00 p.m.
*
Your answer
The phone number above is a:
House phone number
Cell phone number
Work phone number
Clear selection
Parent/Guardian's Email address
Your answer
QUESTIONS ??
Questions pertaining to the registration and admission of all beginners are welcome at the elementary office at (814) 652-9114, ext. 3117.
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