SCS Kindergarten Enrollment Form 2018-19
Please fill out this form to enroll your student who will be entering Kindergarten. Please enter student name information as it appears on the child's birth certificate.

After submission, you will need schedule an appointment to come into the Administration Building at 500 N. Harrison St., Salem, IN 47167 to review and sign the document. You will need to bring with you the following:

1) Student Birth Certificate and/or Custody Documentation
2) Student Immunization Records
3) Parent Proof of Residency (current utility bill, lease agreement, mortgage statement, etc.)
4) Parent Photo ID

Our first day of school is Aug. 2, 2018.

If you have any questions, please call the Administration Building at 812-883-4437.

Email address *
Student's Last Name *
Your answer
Student's First Name *
Your answer
Student's Middle Name *
Your answer
Student's Preferred Nickname
Your answer
Student's Gender *
Student's Date of Birth *
MM
/
DD
/
YYYY
Student's Primary Physical Street Address *
Your answer
Student's City *
Your answer
Student's State *
Your answer
Student's Zip *
Your answer
Is the student a U.S. Citizen? *
Part 1: Ethnicity - Is this student Hispanic or Latino? *
Part 2: Race - What is the student's Race? (choose one or more) *
Required
Documentation of Relationship *
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