PRESCHOOL-AGED CENSUS SURVEY
SARANAC LAKE  CENTRAL SCHOOL DISTRICT
79 CANARAS AVE
SARANAC LAKE, NY 12983

This form is intended for parents who have preschool-aged children that will enter Kindergarten in September of 2016 or later. Thank you in advance for filling out this Census survey.
PLEASE USE ONE FORM PER CHILD.
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Child's First Name *
Child's Middle Name *
Child's Last Name *
Child's Birthdate *
Child's Gender *
Parent/Guardian First Name *
Parent/Guardian Last Name *
Child's Home Address (Child's Primary Residence) *
City, State, Zip Code *
Mailing Address if Different (If same as residence type "same") *
County of Residence *
Primary Phone Number *
Alternate Phone Number *
First Name of Person Submitting This Form *
Last Name of Person Submitting This Form *
Relation to Child *
Email of Person Submitting This Form *
Submit
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