KINDERGARTEN REGISTRATION 2018/2019
LIBERTY-BENTON KINDERGARTEN REGISTRATION 2018/2019

Kindergarten Screening will be held on Friday, March 16, 2018 at Gateway Church, 9555 County Rd 9, Findlay.

The following items will be required that day for registration purposes:
1). Child's Birth Certificate. This must be the certificate issued by the County Health Department. Hospital Record of Birth is not acceptable.
2). Current Immunization Record
3). Any court documents that pertain to the child. This includes custody paperwork, Adoption documents, etc.
4). If this is an Open Enrollment registration, the additional Open Enrollment paperwork must also be completed and returned to the Superintendent's office. This registration, along with the Kindergarten Screening, does not guarantee Open Enrollment acceptance.

If you have questions regarding any part of the Kindergarten Registration process, please contact Susan Wright at swright@liberty-benton.org or by telephone at (419) 422-9161 X1001.

** An email and/or cell phone number is required in order to send a reminder prior to the screening date. You will receive a confirmation approximately 7-10 days prior to the March 16th date.

Registration Information: Please complete, then submit. Thank You!!
Parent(s)/Guardian Name: *
Your answer
Address: *
Your answer
City: *
Your answer
State: *
Your answer
Zip Code: *
Your answer
** Cell Phone Number:
Your answer
**Contact Email Address:
Your answer
Child's First Name: *
Your answer
Child's Last Name: *
Your answer
Child's Date of Birth (e.g. 04/26/2013) *
Your answer
Please list the names and grade levels of siblings currently attending Liberty-Benton (if any):
Your answer
Gender: *
Are you a resident of Liberty-Benton School district? *
Please select the desired time slot below to schedule your child's screening time: *
Submit
Never submit passwords through Google Forms.
This form was created inside of Liberty-Benton Schools. Report Abuse - Terms of Service - Additional Terms