Pre-Registration for Kindergarten Screening
If your child will be 5 years old by August 1, 2021 please fill out the form below by February 26, 2021. 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 April 30, 2021.
If you have any questions about enrolling your child for Kindergarten please contact Joann Gabel at 419-595-2265.
* Required
Student First Name
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Your answer
Student Middle Name
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Your answer
Student Last Name
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Your answer
Student Gender
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Choose
Female
Male
Date of Birth
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MM
/
DD
/
YYYY
Parent's First and Last Name
*
Your answer
Address
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Your answer
City
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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 food allergies?
*
Choose
Yes
No
If you answered "yes", please list known food allergies.
Your answer
Did the student attend pre-school?
*
Choose
Yes
No
If you answered "yes", please list the pre-school and the number of years attended.
Your answer
Has your child received special education services?
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Yes
No
If you answered "yes", please list the types of services your child receives (Ex. Special Education, Speech, Occupational Therapy, Physical Therapy, and/or Development Delay)?
Your answer
Please choose one of the following residencies.
*
Choose
Reside in New Riegel District
Open Enrollment from another District
If open enrolling, please list the district you reside in.
Your answer
If the student is not living with both parents, is there a court order/decree allocating parent rights and responsibilities? If yes, a copy of the court order must be submitted to the school office.
*
Choose
Yes
No
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