EISD Kindergarten Registration Form
Dear Parents and Guardians,
Please complete the following information to enroll your child in Kindergarten for the 2020-2021 school year. You will need to be able to upload the following documents:
*A copy of your child's birth certificate
*A copy of your child's current shot record
*A copy of the parent/guardian drivers license
*Proof of Residency- A copy of an utility bill which shows your physical address (No PO boxes)
Student's Legal Name: (first, middle, last) *
Your answer
Date of Birth: (The student must be 5 years old as of September 1st of the calendar year to be enrolled in Kindergarten) *
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DD
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YYYY
Current Age: *
Your answer
Social Security Number: *
Your answer
Gender: *
Ethnicity: *
Date Moved to District: *
MM
/
DD
/
YYYY
Last School or Daycare Attended:
Your answer
Physical Address: (Enter street, city, state, zip code- No PO boxes in this field) *
Your answer
Mailing Address: (Enter street, city, state, zip code) *
Your answer
Mode of Transportation to school: *
Mode of Transportation after school: (to go home) *
Parent/Guardian Name: (first, middle, last) *
Your answer
Parent/Guardian relationship to student: *
Your answer
Parent/Guardian Address: (street, city, state, zip code) *
Your answer
Parent/Guardian Phone Number: *
Your answer
Parent/Guardian Phone Number: (Alternate) *
Your answer
Parent/Guardian Employer Name: *
Your answer
Parent/Guardian Employer Phone Number: *
Your answer
Emergency Contact #1 (First name, Last Name) *
Your answer
Emergency Contact #1 Relationship: *
Your answer
Emergency Contact #1 Phone Number: *
Your answer
Emergency Contact #2 (First name, Last Name) *
Your answer
Emergency Contact #2 Relationship: *
Your answer
Emergency Contact #2 Phone Number: *
Your answer
Emergency Contact #3 (First name, Last Name)
Your answer
Emergency Contact #3 Relationship:
Your answer
Emergency Contact #3 Phone Number:
Your answer
Sibling Information: Enter Name(s) (first name, last name), Age, and Campus in which the sibling is enrolled below:
Your answer
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