Pendleton Elementary Enrollment FastPass
Is the student a resident of the South Madison Community School Corporation?
Clear selection
Will the student be at least 5 years old by August 1st? *
Anticipated date to start attending our school. (leave blank for Kindergarten Registration)
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Student's First Name: *
Student's Middle Name:
Student's Last Name: *
Student's Suffix:
Student's Birth Date: *
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Student's Gender: *
Student's Ethnicity: *
Current Grade: *
Does your child receive Special Ed or Speech services? *
If Yes, please list the services:
Home Phone: *
012-345-6789
Street1 *
Street2
City *
State *
Zip *
Do you already have a Parent Portal login with South Madison Community Schools? *
If Yes, please provide the username you use to log into Parent Portal:
Who does the child live with? *
Mother’s/Step/Guardian1 Name:
Mother's/Step/Guardian1 email address?
Father’s/Step/Guardian2 Name:
Father’s/Step/Guardian2 Email Address: *
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