Maple Ridge Elementary Enrollment FastPass
Is the student a resident of the South Madison Community School Corporation? *
Will the student be at least 5 years old by August 1st? *
Anticipated date to start attending our school. (leave blank for Kindergarten Registration)
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Student's First Name: *
Your answer
Student's Middle Name:
Your answer
Student's Last Name: *
Your answer
Student's Suffix:
Your answer
Student's Birth Date: *
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Student's Gender: *
Student's Ethnicity: *
Current Grade: *
Does your child receive Special Ed or Speech services? *
If Yes, please list the services:
Your answer
Home Phone: *
012-345-6789
Your answer
Street1 *
Your answer
Street2
Your answer
City *
Your answer
State *
Zip *
Your answer
Do you already have a Parent Portal login with South Madison Community Schools? *
If Yes, please provide the username you use to log into Parent Portal:
Your answer
Who does the child live with? *
Mother’s/Step/Guardian1 Name:
Your answer
Mother's/Step/Guardian1 email address?
Your answer
Father’s/Step/Guardian2 Name:
Your answer
Father’s/Step/Guardian2 Email Address: *
Your answer
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