2021-2022 Kindergarten Preregistration
If you have multiple children entering Kindergarten, please enter each on a separate form.
Email address *
Child's Last Name *
Child's First Name *
Child's Date of Birth *
MM
/
DD
/
YYYY
Child's Current Street Address *
Child's Address for 2021-2022 school year if different than above.
Approximate date you plan to move into the school district if not currently a resident
Parent/Guardian: First and Last Name (please enter all parents/guardians) *
Best Email Address for Parent/Guardian *
Best Phone Number for Parent/Guardian *
If your child currently attends a preschool program, please list the name of the school.
If your child receives Early Intervention services, please indicate the services below.
Comments/Questions
Submit
Never submit passwords through Google Forms.
This form was created inside of West Jefferson Hills School District. Report Abuse