Hurt Elementary Kindergarten Registration     2024-2025
Please complete this form in order to schedule an appointment with your child's school to complete the enrollment process.
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Email *
First Name of Pupil: *
Middle Name of Pupil: *
Last Name of Pupil: *
Birthdate:
MM
/
DD
/
YYYY
Parent's /Guardian's Name: *
Primary Telephone Number: *
Cell Phone:
Parent's Email: *
Home Address: *
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