2020-2021 Kindergarten Preregistration
Please help us get started with the registration process for next year's kindergarten students by completing the form below. We will have other items for you to fill out and hopefully a screening process as the state guidelines will allow. Thank you for your time. Please continue to follow our Facebook page and check your email for updates.
Child's Name (First, Middle, Last) *
Date of Birth (MM/DD/YYYY) Child must be 5 years old on or before September 1, 2020 *
Gender *
Race *
Home Street Address *
Mailing Address (if P.O. Box)
Town *
Zip Code *
Child lives with *
1. Parent/Guardian Name - First Contact (First Name, Last Name) *
1. Parent/Guardian Address (street, city) *
1. Parent/Guardian email address
1. Parent/Guardian phone number ###-###-####
2. Parent/Guardian Name - Second Contact (First Name, Last Name)
2. Parent/Guardian Address (street, city, zip)
2. Parent/Guardian email address
2. Parent Guardian phone number ###-###-####
Submit
Never submit passwords through Google Forms.
This form was created inside of Cumberland CUSD #77.