School District of Belleville Census Register
The School District of Belleville gathers census information for all children living within the school district's boundaries between the ages of birth-20 years old. State law requires districts to submit census information to the WI Department of Public Instruction each year. Please respond if your children are between the ages of birth-20 years old, even if they do not attend schools within the School District of Belleville. If you have any questions please contact Tony Schmit (608-424-1902 ex 3206) or schmita@belleville.k12.wi.us. Your help with this information is appreciated.
Please list parent(s)/guardian(s) full names. *
Please enter household telephone number. *
Include area code
Please enter email address. *
Please enter household address. *
House/Apt #, Street Name, City, State, Zipcode, Township
Please list the following for Child 1:
Full name, Date of Birth, Sex, Race, name of public, private or homeschool attending in 2019-20.
Please list the following for Child 2:
Full name, Date of Birth, Sex, Race, Name of public, private or homeschool attending in 2019-20.
Please list the following for Child 3:
Full name, Date of Birth, Sex, Race, name of public, private or homeschool attending in 2019-20.
Please list the following for Child 4:
Full name, Date of Birth, Sex, Race, Name of public, private or homeschool attending in 2019-20.
Please list the following for Child 5:
Full name, Date of Birth, Sex, Race, name of public, private or homeschool attending in 2019-20.
Please list the following for Child 6:
Full name, Date of Birth, Sex, Race, name of public, private or homeschool attending in 2019-20.
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