2020-2021 New Student Notification Form
Welcome to the learning community at the Daniel J. Bakie Elementary School, Kingston, NH. Please complete this form for each child to provide us with their information. Please know that it takes 2-3 full work days to process their enrollment after we receive all the completed enrollment forms.

For those of you who might not be aware, there is a reconfiguration that will take place next school year (2020-2021). D.J. Bakie School in Kingston will be home to students in Pre-K through grade 3 and Memorial School will be home to students in grades 4 through 6. Preschool enrollment is done on a lottery basis during the start of each calendar year.
Email address *
Student's First Name *
Student's Last Name *
Please select your child's grade they will be entering. *
Date of Birth (mm/dd/yyyy) *
MM
/
DD
/
YYYY
Gender *
Parent/Guardian's First and Last Name *
Telephone *
House/P.O. Number *
Street Name *
Town *
Does your child currently have an IEP (Individualized Educational Plan)? *
If you answered yes to the above question, please check the services they have been receiving.
Do you have any special educational concerns for your child?
Clear selection
If you answered 'Yes' to the above question, please explain your concerns.
Are there any specific health concerns we should be aware of?
Clear selection
If yes above, please specify.
Is your child on any medication at school?
Clear selection
If yes above, please specify
Are there any other concerns you think we would be aware of?
Clear selection
If yes above, please specify.
Are there any custodial/guardianship agreements for this child? *
What is the name and address of their current school? *
When would you like them to start? The 1st day is 9/1/2020. *
Do you have access to a computer *
Do you have access to a printer? *
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