Kindergarten Registration SHC Elementary Schools
Parents and Guardians,

Bellow you will find the 2019 Kindergarten Registration Form for the Southern Huntingdon County School District. Registration will be held in the Library at the Southern Huntingdon County High School. If you are unable to make it during a time that fits your building's schedule, you may select another building. Once you have filled out the form, please contact your building to pick up a Kindergarten Registration Packet. If you have any questions, please feel free to reach out to the building principal or building secretaries.

Thank you,

Mr. Brent Pistner
814-447-5529

Student's First Name *
Your answer
Student's Middle Name *
Your answer
Student's Last Name *
Your answer
Suffix (if applicable)
Jr., II
Your answer
Student's Date of Birth *
Month/Day/Year (04/25/2011)
Your answer
Gender *
Student Will Attend *
Student's Current Age -- Years/Months *
4 years 3 months
Your answer
If this is a foster child placement, please provide Placement Agency
Your answer
Student resides with: *
Please check all that apply
Required
Father's Name (First Middle Last) *
Your answer
Mother's Name (First Middle Last) *
Your answer
Email Address *
Your answer
Mailing Address *
Example: PO Box 10399
Your answer
City *
Your answer
State *
Zip Code *
Your answer
Physical Street Address *
example: 10339 Pogue Road
Your answer
City *
Your answer
State *
Zip Code *
Your answer
Phone Number *
Please include area code
Your answer
Cell Phone Number
Please include area code
Your answer
Township/Brough *
example: Cass Township
Your answer
Ethnicity/Race *
Please check all that are applicable
Required
Please pick date for Kindergarten Registration *
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