Mason City Community School District Kindergarten Registration for 2021-2022
The online portion of Kindergarten registration has 3 required sections to complete:

Student Information
Family Information
Additional Information

Bus Application - If your student will require busing this school year you must fill out a bus application. The bus application is available on the school district website as well as within the Kick Off to Kindergarten email.
*If your student does not require busing, you do not need to complete the bus application.

Please note that additional information will be obtained during the 2021-2022 Fall Online Registration. Please look for an email from the district in late July for details.

To begin the registration process, enter your email address below. If you do not have an email account simply enter this for the email below: "noemail@yahoo.com"
Email *
STUDENT INFORMATION
Please use legal name only. * as shown on birth certificate *
Student's Last Name *
Student's First Name *
Student's Middle Name *
Student's Nick Name
Date Of Birth *
MM
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Home Address - Street *
City *
State *
Zip *
Home Phone *
Format XXX-XXX-XXXX
Gender *
Hispanic/Latino *
Is the student of Hispanic, Latino or Spanish ethnicity? Includes persons of Cuban, Mexican, Puerto Rican, South or Central American, or other Spanish culture or origin, regardless of race.
Race - check all that apply *
What is the student's race? Definitions: American Indian or Native Alaskan - (a person having origins in any of the original peoples of North and South America including Central America, and who maintains tribal affiliation or community attachment); Asian - (a person having origins in any of the original peoples of the Far East. Southeast Asia, or the Indian subcontinent including, Cambodia, China, India, Japan, Korea, Malaysia, Pakistan, the Philippine Islands, Thailand, and Vietnam); Black or African American - (a person having origins in any of the black racial groups of Africa); Native Hawaiian or Other Pacific Islander - (a person having origins in any of the original peoples of Hawaii, Guam, Samoa or other Pacific Islands. White - (a person having origins in any of the original peoples of Europe, the Middle East, or North Africa).
Required
Custody *
Who has legal custody of the student?
Lives With *
Student is living with (check all that apply). If there is a NO CONTACT order please provide school with a copy.
Required
Did the student attend a preschool program during the 2020-2021 school year? *
If Yes, where? Example: Mason City Schools 4-Yr-Old, Early Childhood, Head Start, Newman Preschool, Little Angels, Sugar Plum, Charlie Brown, etc. *
FAMILY INFORMATION
Mother's Name *
Last Name First Name
Mother's Home Phone
### - ### - #### Format
Mother's Work Phone
### - ### - #### Format
Mother's Cell Phone
### - ### - #### Format
Mother's Email
Mother's Employer
Is Mother's Address Same as Student?
Clear selection
Mother's Address - Street
If mother's address is NOT the same as student's, enter street address.
Mother's Address - City
If mother's address is NOT the same as student's, enter city.
Mother's Address - State
If mother's address is NOT the same as student's, enter state abbreviation.
Mother's Address - Zip
If mother's address is NOT the same as student's, enter zip code.
Father's Name *
Last Name First Name
Father's Home Phone
### - ### - #### Format
Father's Work Phone
### - ### - #### Format
Father's Cell Phone
### - ### - #### Format
Father's Email
Father's Employer
Is Father's Address Same as Student?
Clear selection
Father's Address - Street
If father's address is NOT the same as student's, enter street address.
Father's Address - City
If father's address is NOT the same as student's, enter city.
Father's Address - State
If father's address is NOT the same as student's, enter state abbreviation.
Father's Address - Zip
If father's address is NOT the same as student's, enter zip code.
Guardian's Name - (if other than mother and/or father)
Last Name First Name
Relationship to the Student
Clear selection
Guardian's Home Phone
### - ### - #### Format
Guardian's Work Phone
### - ### - #### Format
Guardian's Cell Phone
### - ### - #### Format
Guardian's Email
Guardian's Employer
Is Guardian's Address Same as Student?
Clear selection
Guardian's Address - Street
If guardian's address is NOT the same as student's, enter street address.
Guardian's Address - City
If guardian's address is NOT the same as student's, enter city.
Guardian's Address - State
If guardian's address is NOT the same as student's, enter state abbreviation.
Guardian Address - Zip
If guardian's address is NOT the same as student's, enter zip code.
ADDITIONAL INFORMATION
Primary Language spoken in the home *
Do you have any other students attending Mason City Schools? *
If mark "Yes" please complete the following question with details of the students.
Please list any other students in the family attending MC Schools. (Please include Student's name, Grade and Building Attending)
Today's Date *
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