Lakewood 2021-22 Kindergarten Pre-Registration Form
This form is a pre-registration form for students who will be attending Kindergarten at Lakewood in August 2021. More information will be coming soon! Questions? Please call 913-239-6500!
CHILD's Last Name *
CHILD'S First Name *
Gender *
Child's Date of Birth- Must be 5 by September 1, 2021 *
Home Street Address *
City *
Zip *
Subdivision: *
PARENT E-Mail Address: *
PARENT 1 Name: Last, First *
PARENT 1 Phone Number:
Parent 1 Address (if different than student from above)
Parent 2 Name: Last, First
Parent 2 Phone Number
Parent 2 (if different from above)
Name of Preschool Attended
Primary Language: *
Siblings (Name, Age)
Any additional information? (medical concerns, academic concerns, support provided in preschool, etc)
Never submit passwords through Google Forms.
This form was created inside of Blue Valley School District. Report Abuse