Kindergarten/Transitional Kindergarten Student Information
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I am registering my student for
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Kindergarten
Transitional Kindergarten
Student's First Name
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Your answer
Student's Last Name
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Your answer
Prefers to be called
Your answer
Date of Birth
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MM
/
DD
/
YYYY
Address
*
Your answer
Parent/Guardian First Name
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Your answer
Parent/Guardian Last Name
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Your answer
Relationship to student
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Your answer
Parent Occupation
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Your answer
Cell Phone
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Your answer
Email
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Your answer
Parent/Guardian First Name
Your answer
Parent/Guardian Last Name
Your answer
Relationship to Student
Your answer
Parent Occupation
Your answer
Cell Phone
Your answer
Email
Your answer
Preferred Phone Number for School to use
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Your answer
Preferred Email for School to use
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Your answer
Languages Spoken at Home (please list all that are spoken)
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Your answer
Other Children in Family (Age, Grade, School)
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Your answer
Please list any holidays your family celebrates
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Your answer
Do you celebrate birthdays in your home?
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Yes
No
If no, please explain
Your answer
Does your student have any allergies/foods they should not eat?
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Yes
No
If yes, please explain
Your answer
Did your student attend preschool?
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Yes
No
If yes, where?
Your answer
Dates he/she began preschool
MM
/
DD
/
YYYY
Does your student have an IEP?
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Yes
No
If yes, explain
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Will your student attend daycare?
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Yes
No
If yes, which establishment?
Your answer
Is there other information you wish to share?
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