Request for Round-Up Information
Please note by filling out this form you will be assured Round-up information will be sent to you.
Parent/Guardian Information
Your answer
Primary Parent/Guardian Name
First and Last Name (if not available-type NA)
Your answer
Contact Phone Number(s)
Include area code. Please state if cell, home, or work number. (You may include more than one phone number)
Your answer
Contact email address(es)
Your answer
Street Address (include Apt # if applicable)
Your answer
City
State
Student's Legal FIRST Name
Your answer
Student's Middle Name (if none answer NA)
Your answer
Student's Legal LAST Name
Your answer
Gender
Date of Birth
MM
/
DD
/
YYYY
Has your child completed Early Childhood Screening
This is required by law before entering Kindergarten. If your answer is NO you may contact Early Childhood Screening office to schedule an appointment 218.336.8816
Are you interested in regular English Instruction?
Are you interested in Ojibwe Immersion Kindergarten?
Misaabekong Immersion Program
Are you interested in Spanish Immersion Kindergarten?
Nueva Vision Spanish Immersion Program
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