2021-2022 Kindergarten Registration Form
After the state of Ohio's school building closure is lifted, someone from YCS will be in contact with you to complete the registration process. If you are new to the school, we will need the child's birth certificate, shot record, custody papers (if applicable) and 2 proofs of residency, and parent driver's license/state i.d.
* Required
Name of Child
*
Your answer
Male/Female
*
Male
Female
Child's birthday
*
Your answer
Address
*
Your answer
Mother's full name
*
Your answer
Mother's phone number
*
Your answer
Father's full name
*
Your answer
Father's phone number
*
Your answer
What grade is the child entering?
*
Kindergarten
Is your child currently enrolled in YCS?
*
Yes
No
Does the child have siblings at YCS?
*
Yes
No
If yes, please list siblings and grades
Your answer
Has your child ever been retained?
*
Yes
No
If yes, in what grade was your child retained?
Your answer
What other school(s) has your child attended? Please list school, city and grade.
Your answer
Is your child currently in a SPECIAL NEEDS PROGRAM with an ETR or/and IEP?
*
Yes
No
I don't know
If yes, where is your child in the special needs program?
Your answer
If you child is in a special needs program, what program?
Specific Learning Disability (SLD)
Intellectual Disability (ID)
Emotional Disturbance (ED)
Other Health Impaired (OHI)
Speech and Language (SLP)
Multiple Disabilities (MD)
Other
Clear selection
How did you hear about Youngstown Community School?
Your answer
Name of person filling out the form?
*
Your answer
Relationship to student?
*
Your answer
Date
*
MM
/
DD
/
YYYY
Submit
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