Morrilton Primary School ABC Preregistration 2020-2021
Please complete the following information so we can add your child to our enrollment list. We will require more documents be turned into the office at a later date.

• A copy of the Child's Social Security Card
• The Child's Legal Birth Certificate
• Current Health Screening from the primary care doctor with vision and hearing checked while getting the
health screening
• Up to Date Immunization Records

Also, We will need one type of proof of income for each caregiver listed on the application:

• The front page of a 2019 Income tax return, W-2's for 2019 for all working adults in the household
• A signed and notarized letter from your employer stating your earnings per hour and the number of hours
worked weekly
• 30 days of check stubs if paid weekly or biweekly
• if no income, a notarized letter stating there is no income

Email address *
Student's First Name *
Your answer
Student's Middle Name
Your answer
Student's Last Name *
Your answer
Student's Date of Birth *
MM
/
DD
/
YYYY
Student's Gender *
Physical Address *
Your answer
Mailing Address (if it is the same as physical address write same)
Your answer
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