South Windsor Public Schools
2018 - 2019 New Student Enrollment Form
Student's First Name *
Your answer
Student's Middle Name
Your answer
Student's Last Name *
Your answer
Student's Generation Suffix (if applicable)
i.e., Jr., II
Your answer
Student's Gender *
Student's Date of Birth *
MM
/
DD
/
YYYY
Grade Level Student Entering *
School Enrolling
Primary Phone Number *
000-000-0000
Your answer
Student's Street Address *
99 Main Street (ie.)
Your answer
Apt/Suite # if applicable
Your answer
City *
Your answer
Zip Code *
Your answer
Name of Parent/Guardian #1 *
Your answer
Name of Parent/Guardian #2
Your answer
Parent/Guardian E-Mail Address *
Your answer
Are you the parent of this student? *
Do you live with student at address listed above? *
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