HCCSC Online Kindergarten Survey
Please fill out the below information for incoming kindergarten students for the 2020-2021 school year. Please note this is not a registration form.
Student First Name *
Your answer
Student Middle Name
Your answer
Student Last Name *
Your answer
Student nickname or preferred name
Your answer
Date of Birth *
MM
/
DD
/
YYYY
Gender *
Parent/Guardian First Name *
Your answer
Parent/Guardian Last Name *
Your answer
Mailing Address *
Your answer
City *
Your answer
Zip *
Your answer
Physical Address - If different (Street, City, Zip)
Your answer
eMail Address *
Your answer
Phone Number *
Your answer
Students Home School
Column 1
Andrews
Flint Springs
Horace Mann
Linclon
Roanoke
Salamonie
Unknown
Out of County Transfer
Siblings
If "Yes" Name and School
Your answer
Submit
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