Moscow Elementary Student Registration

Pre-K Registration: Please register your child for the upcoming school year. Your child needs to be 4 years old on or before October 15, 2026.
Kindergarten Registration: Please register your child for the upcoming school year. Your child needs to be 5 years old on or before October 15, 2026.
In addition to registering online we need the following documentation dropped or mailed to the school: Birth Certificate, Proof of Residency, Any Court Documents, Immunizations, and IEP's.
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Email *
Please indicate what grade your student will be enrolling in. *
Child's Name *
Age *
Sex *
Date of Birth *
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Mailing Address *
Physical Address *
Student's Ethnicity *
Mother's Name *
Mother's Address (if different from student's)
Mother's Home Phone
Mother's Cell Phone
Mother's E-Mail Address
Mother's Place of Employment
Mother's Work Phone
Father's Name *
Father's Address ( if different from student's)
Father's Home Phone
Father's Cell Phone
Father's E-mail Address
Father's Place of Employment
Father's Work Phone
Parents live: *
Stepmother's Name (if applicable)
Stepfather's Name (if applicable)
Do you have legal custody of the student? *
Does this student reside with you? *
Is this student in foster care? *
Number of family members in the home: *
Names of brothers and sisters: (indicate sex and age of each child) *
Names of any others living at home (indicate relationship)
Is your child receiving any special needs services with Child Development Services (CDS)? *
If yes, in what areas are they receiving services?
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Does your child have an IEP? *
Name of child's doctor *
Doctor's phone number *
Name of child's dentist *
Dentist's phone number *
General Health of child  *
Important and/or persistent illnesses, injuries, accidents, colds, fevers, convulsions: (please indicate condition, age, treatment, and if they were hospitalized)
Has your child had a vision check? *
If so, by whom?
Any special medical examinations? (i.e. neurological, ENT, etc.) (indicate date, by whom, specialty, and finding) 
Please list any concerns or questions you may have about your child entering school.
Transportation Information *
My child will be dropped off at the following address Monday through Friday *
Signature of person filling out this form and relationship to child *
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