MS Jumpstart Registration 2020
Please complete this form as accurately as possible. We will be contacting families during the summer. Since summer communications are difficult, E-mail addresses will be the first line of communication and a mailing will go out as well.
Student's First Name *
Your answer
Student's Last Name (if multiple last names, use the name that matches their registration documents) *
Your answer
Student's Address - street, city, state, zip code *
Your answer
Parent's First Name *
Your answer
Parent's Last Name *
Your answer
Cell Phone Number *
Your answer
Work Phone Number (if applicable)
Your answer
Email Address *
Your answer
Emergency Contact Name *
Your answer
Emergency Contact Phone Number *
Your answer
Emergency Contact - Relationship to Child *
Your answer
Previous School Child Attended *
Will your student ride the bus? *
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