2020-2021 Jesup Community School Preschool/Pre-K/Kindergarten Registration
Preschool priority will be given to students who will be three years old on or before September 15, 2020. PK students must be 4 years old by September 15, 2020. Kindergarten students must be 5 years old or older by September 15, 2020. Please provide School with a copy of Birth Certificate. You can email the certificate to: hhansen@jesup.k12.ia.us

To complete your child's registration you will need: Your child's Physician, Dentist, Health information, Authorized pickup name and phone, Emergency contact name and phone.
Student's Legal Name (include First Middle and Last) *
Your answer
Date of Birth. Please remember to send copy of birth certificate to: hhansen@jesup.k12.ia.us *
MM
/
DD
/
YYYY
Birth Place: *
Your answer
Gender* *
Student's Primary (Full) Home Address* *
Your answer
County of Residence: *
Your answer
The Student (Check One) *
Mailing Address
(If different from primary address, PO Box, City, State, Zip)
Your answer
Next
Never submit passwords through Google Forms.
This form was created inside of Jesup Community Schools. Report Abuse