Kindergarten Screening/Registration 2019-2020
Deadline: April 18, 2019
Child's Legal First Name *
Your answer
Child's Legal Last Name *
Your answer
Name Child Prefers to be Called
Your answer
Child's Gender *
Child's Date of Birth (MM/DD/YYYY) *
MM
/
DD
/
YYYY
Mother's Full Name *
Your answer
Father's Full Name *
Your answer
Guardian Name (If different than mother or father)
Your answer
Street Address *
Your answer
City *
Your answer
Zip Code *
Your answer
Lives outside of Lake School District? *
Phone Number (xxx-xxx-xxxx) *
Your answer
E-Mail Address *
Your answer
Name of Preschool (if applicable)
Your answer
Years of Preschool (if applicable)
Your answer
Select Screening/Registration Time *
Submit
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