Winfield Preschool and Kindergarten Registration Information
* Required
Student's Full Name (First, Middle, Last):
*
Your answer
Please complete the basic information below for your child and someone will be in touch to complete the registration process.
Student's Address (Include City, State, Zip):
*
Your answer
Gender:
*
Female
Male
Place of Birth:
*
Your answer
City of Birth:
*
Your answer
Country of Birth:
*
Your answer
Age:
*
Your answer
Date of Birth:
*
MM
/
DD
/
YYYY
Ethnic Group (Please Select):
*
White
Hispanic
African American
Asian
American Indian/Alaskan Native
Native Hawaiian/Pacific Islander
Required
Parent/Guardian's Full Name:
*
Your answer
Relationship to Child:
*
Parent
Legal Guardian
Step-Parent
Foster Parent
Grandparent
Aunt/Uncle
Other:
Required
Parent/Guardian's Address (Include City, State & Zip):
*
Your answer
Parent/Guardian's Phone Number:
*
Your answer
Parent/Guardian's Email Address:
*
Your answer
Other Parent/Guardian's Full Name:
Your answer
Relationship to Child:
Parent
Legal Guardian
Step-Parent
Foster Parent
Grandparent
Aunt/Uncle
Other:
Other Parent/Guardian's Address (Include City, State & Zip):
Your answer
Other Parent/Guardian's Phone Number:
Your answer
Other Parent/Guardian's Email Address:
Your answer
Best Method of Contact:
*
Email
Phone
Mail
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