Gilmanton School's Kindergarten Registration                                                      2022-2023
Julie Couch                                    Nancy Fournier                                                   Ben Wolfson
  Principal                             Director of Student Services                                Assistant Principal
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Email *
Student's Last Name *
Student's First Name *
Student's Middle Name *
Student's Gender *
Student's Date of Birth *
MM
/
DD
/
YYYY
Place of Birth *
Town, State
Race *
Required
Student resides with: *
Street Address: *
Town: *
P.O. Box:
Zipcode: *
Parent/Guardian 1 *
Example: Mary Smith
Parent/Guardian One Military Status *
Parent/Guardian 2 *
Example: Paul Smith
Parent/Guardian Two Military Status *
Home Phone:
Parent/Guardian 1's Cell Phone:
Parent/Guardian 2's Cell Phone:
Primary Email Address: *
Secondary Email Address
Relationship with student: *
Has your child attended... *
Required
Does your child have any siblings currently enrolled at Gilmanton School? *
If yes to the above question, please list the names and grades of those students currently attending Gilmanton School.
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