River Valley Local Schools Kindergarten Registration Form
Kindergarten Registration 2020-2021
Student's Last Name
Your answer
Student's First Name
Your answer
Student's Middle Initial
Your answer
Date of Birth (MM/DD/YYYY)
Your answer
Male or Female
Ethnicity- Please check the box beside the race which the student identifies.
Student's Address
Your answer
City
Your answer
Zip Code
Your answer
Contact Phone Number
Your answer
Parent/Guardian's (1) Last Name
Your answer
Parent/Guardian's (1) First Name
Your answer
Relationship to Student
Parent/Guardian's (2) Last Name
Your answer
Parent/Guardian's (2) First Name
Your answer
Relationship to Student
Who does the student live with?
Email Address (For future contact.) *
Your answer
Custody papers are required by law for divorced or separated parents. Do you have appropriate custody papers?
What school district do you live in? (District of Residency)
Does your child have any medical concerns? (i.e. severe allergies, diabetes, etc.)
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