Bethlehem Central School District Student Census
Please complete the questionnaire below and submit your information.

The District's pre-school and non-enrolled student census questionnaire helps us to accurately project future class sizes, arrange transportation routes, and allocate resources to our neighborhood schools.

Questions? Call the Registrar: 518-439-0352
Do you have pre-school aged children living in your household?
Name of Pre-School Child
Date of Birth of Pre-School Child
Gender Pre-School Child
Clear selection
Name of Pre-School Child #2
Date of Birth of Pre-School Child #2
Gender of Pre-School Child #2
Clear selection
Do you have school-aged children not enrolled through Bethlehem Central School District?
Name of School-Aged Child
Date of Birth of School-Aged Child
Gender of School-Aged Child
Clear selection
School of Attendance for School-Aged Child
(Private/Home/Etc.)
Current Grade of School-Aged Child
Parent 1 Information
Name
Address
City
State
Zip Code
Business Phone Number
Home Phone Number
Cell Phone Number
E-mail Address
Do you want to receive the District's e-newsletter?
Clear selection
Parent 2 Information
Name
Address
City
State
Zip Code
Business Phone Number
Home Phone Number
Cell Phone Number
E-mail Address
Do you want to receive the District's e-newsletter?
Clear selection
Submit
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