2019-2020 Kindergarten Screening Registration Gray/Russell School
Dear Parents/Guardians,
If your child will be 5 years old on or before October 15, 2019 please provide the following information as part of the Kindergarten registration process. This registration form is just the initial registration for screening and will be followed up with additional paperwork for enrollment.

There will be a mandatory screening in the spring for all children. You will receive an appointment for screening in advance. Russell School Kindergarten Screening is planned for May 16, 17, 20, & 21. Prior to this appointment you will receive information about completing enrollment documentation. For this you will need the following documents. You can either upload those documents or bring them with you to screening. Those documents include:
1. Birth Certificate
2. Proof of Residency
3. Immunization (Copy)
4. Any legal guardianship, custody or other documentation

We look forward to welcoming you to our schools.

Thanking you in advance,
Russell School

Student's Name *
(We need student full name: First, Middle and Last)
Your answer
In which Town does the child reside? *
Date of birth *
month/day/year
Your answer
Gender *
Physical Address *
Your answer
Mailing Address *
If same as physical address just write 'same'
Your answer
Primary Phone Number *
Your answer
Secondary Phone Number
Your answer
Primary email address (please enter "none" if you don't have one) *
Your answer
Parent's Name *
Your answer
Co-Parent's Name
Your answer
Other Custodial Guardian name
If none, leave blank
Your answer
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