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HCCSC Kindergarten Pre-Registration
Please fill out the below information for incoming kindergarten students for the 2020-2021 school year. Please note this is not a registration form.
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* Indicates required question
Student First Name
*
Your answer
Student Middle Name
Your answer
Student Last Name
*
Your answer
Student nickname or preferred name
Your answer
Student Date of Birth
*
MM
/
DD
/
YYYY
Gender
*
Male
Female
Parent/Guardian First Name
*
Your answer
Parent/Guardian Last Name
*
Your answer
Mailing Address
*
Your answer
City
*
Your answer
Zip Code
*
Your answer
Physical Address - If different (Street, City, Zip)
Your answer
Parent/Guardian email Address
*
Your answer
Phone Number
*
Your answer
Home School
Column 1
Andrews
Flint Springs
Horace Mann
Linclon
Roanoke
Salamonie
Unknown
Out of County Transfer
Column 1
Andrews
Flint Springs
Horace Mann
Linclon
Roanoke
Salamonie
Unknown
Out of County Transfer
Clear selection
Siblings
Yes check?
No
Name of Sibling(s) & School they attend
Your answer
Submit
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