Fraser Valley Elementary              Kindergarten Information Form
As a part of our East Grand District policy, students must be 5 years old by September 30, 2022 to enroll in Kindergarten for the 2022-23 school year.

This short form is for FVE to gather initial kindergarten registration information.  Additional information will be requested as part of our online Powerschool Registration that must be completed in August.

* A copy of your child's birth certificate and immunization records are required before entrance.  You can email them to kari.vanhorn@egsd.org or bring them into the school office prior to the start of school in August.

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Student's First Name: *
Student's Middle Name: *
Student's Last Name: *
Student's Preferred Name:  (only if different than student's first name)
Student's Date of Birth: *
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Student's Gender: *
Mother's Name:  (First & Last)
Father's Name:  (First & Last)
Primary Phone Number:  (000-000-0000) *
Primary Email Address: *
Student's Mailing Address:  (Box # or Street, City, Zip) *
Student's Physical Address:  (Street, City, Zip) *
Name of Preschool Attended:  (if applicable)
Start and End Date of Preschool Attended:  (if applicable)
List your child's important medical information/restrictions (including dietary) and any current medications:
List any additional information regarding social and academic readiness, special needs of your child, or classroom placement input:
Student's Home Language: *
What Language is spoken in your home?
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