Pre-Registration for Kindergarten Screening
If your child will be 5 years old by August 1st, 2018 please fill out the form below by February 28, 2018. If you are considering open enrolling your Kindergarten student to New Riegel School please complete the form below. Once we have students pre-registered, we will send more information through the mail regarding Kindergarten registration.

Kindergarten Screening will be held on Friday, May 11, 2018.

Student First Name *
Your answer
Student Middle Name *
Your answer
Student Last Name *
Your answer
Student Gender *
Date of Birth *
MM
/
DD
/
YYYY
Parent's Name *
Your answer
Address *
Your answer
City *
Your answer
State *
Your answer
Zip *
Your answer
Home Phone
Your answer
Cell Phone
Your answer
Email
Your answer
Does the student have any known allergies? *
If you answered "yes", please list known allergies.
Your answer
Did the student attend pre-school? *
If you answered "yes", please list the pre-school and the number of years attended.
Your answer
Please choose one of the following residencies. *
If open enrolling, please list the district you reside in.
Your answer
Is there a temporary or permanent custody order/decree allocating parent rights and responsibilities? *
Submit
Never submit passwords through Google Forms.
This form was created inside of New Riegel Local Schools. Report Abuse - Terms of Service - Additional Terms