Liberty Elementary 2020-2021 Pre-Enrollment
This is a pre-enrollment form for PreK, Kindergarten, 1st, and 2nd grade. To be eligible for PreK your child will need to be four on or before September 1st, 2020. To be eligible for Kindergarten your child will need to be 5 on or before September 1st, 2020. Please fill out all information or the enrollment will not be valid. Other paperwork and documents will be required before school starts. You can email these documents to jbarlow@sallisawps.org. We will need a birth certificate, shot record, proof of residency, and if applicable CDIB cards. If court documents need to be filed with us at school we will need a copy of those as well Please contact Mrs. Barlow at jbarlow@sallisawps.org if you have any questions. Thank you.
Grade Enrolling for the school year 2020-2021 *
Student's Legal Full Name: First, Middle, Last *
Your answer
Gender *
Ethnicity *
Date of Birth *
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Place of Birth: City *
Your answer
Place of Birth: State *
Your answer
Parent/Legal Guardian 1 *
Your answer
Primary Phone Number for Parent/Legal Guardian 1 *
Your answer
Parent/Legal Guardian 2 *
Your answer
Primary Phone Number for Parent/Legal Guardian 2 *
Your answer
Emergency Contact Name: *
Your answer
Emergency Contact Phone Number: *
Your answer
Student Resides with: *
Your answer
Mailing Address: *
Your answer
Mailing Address City & State *
Your answer
Physical Address *
Your answer
Physical Address City & State: *
Your answer
Parent/Guardian email address *
Your answer
Is your family living in a hotel, shelter, vehicle, or with a friend or relative? *
Are there any court documents regarding custody of the child? *
Does your child have a CDIB Card? *
What is your child's CDIB number?
Your answer
Does your child require any special services such as special education? *
Does your child have any physician documented health concerns such as asthma, allergies, seizures, etc? *
If yes, please list the health concerns *
Your answer
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