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
• 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
• 30 days of check stubs if paid weekly or biweekly
• if no income, a notarized letter stating there is no income
Student's First Name
Student's Middle Name
Student's Last Name
Student's Date of Birth
Mailing Address (if it is the same as physical address write same)
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This form was created inside of South Conway County School District.