Adena Local Schools Kindergarten Registration 2020-21 School Year
IMPORTANT: If you already have an appointment for kindergarten registration, you DO NOT need to fill out this from.

If you have a child that will be entering kindergarten for the 2020-21 school year, please fill out the form below. REMINDER: the child must be 5 years of age on or before August 1, 2020. If you have any questions, please contact one of our elementary secretaries, Mrs. Timmons: lisa.timmons@adenalocalschools.com or
Mrs. Shiplett: angie.shiplett@adenalocalschools.com.
Child's First Name *
Your answer
Child's Last Name *
Your answer
Child's Date of Birth *
MM
/
DD
/
YYYY
Mother's First and Last Name *
Your answer
Father's First and Last Name
Your answer
Residential Parent's Address (must reside in Adena Local School District) *
Your answer
Who does the child live with? *
Residential Parent's Phone Number *
Your answer
Residential Parent's Email Address *
Your answer
Does your child currently attend Pre School? *
Name of Child's PreSchool
Your answer
Name of Parent/Guardian filling out this form *
Your answer
Submit
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