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.
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
Never submit passwords through Google Forms.
This form was created inside of Saranac Lake Central School District. Report Abuse