2019-2020 WCSU NEW STUDENT PREKINDERGARTEN REGISTRATION
Complete this registration packet to enroll your child as a NEW student.
This form is for students new to a WCSU Pre-K program. If your child was enrolled in a WCSU Pre-K program previously, please use this form: https://goo.gl/forms/ifGmteseNt7RFoLZ2
Choose a campus: *
Required documentation to complete registration:
Please have available for upload a copy of your child's birth certificate, a copy of your child's immunization records, and a copy of the custody agreement in the event of divorced or legally separated parents.
Copy of child's birth certificate *
Required
Copy of child's immunization records *
Required
STUDENT INFORMATION
Student First Name: *
Student Last Name: *
Middle Initial:
Student Date of Birth: *
*Child must be at least 3 years of age on or before September 1st for the school year in which you are registering.
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Gender: *
Student Physical Address: *
Student Physical Address City/State/Zip: *
Student Mailing Address (if different):
Student Mailing Address City/State/Zip (if different):
Is student eligible for (check all that apply):
Race/Ethnicity (check all that apply): *
Required
Language(s) other than English spoken in the home:
Child lives with:
PARENT/GUARDIAN 1 INFORMATION
1 Relationship to Student: *
1 First Name: *
1 Last Name: *
1 Physical Address: *
1 Physical Address City/State/Zip: *
1 Mailing Address (if different):
1 Mailing Address City/State/Zip (if different):
1 Home Phone: *
1 Secondary Phone (cell, work, etc.):
1 Email Address: *
PARENT/GUARDIAN 2 INFORMATION
2 Relationship to Student: *
2 First Name: *
2 Last Name: *
2 Physical Address: *
2 Physical Address City/State/Zip: *
2 Mailing Address (if different):
2 Mailing Address City/State/Zip (if different):
2 Home Phone: *
2 Secondary Phone (cell, work, etc.):
2 Email Address: *
SIBLING INFORMATION
Sibling 1 Name:
Sibling 1 Date of Birth:
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What grade is sibling 1 in?
Sibling 2 Name:
Sibling 2 Date of Birth:
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What grade is sibling 2 in?
Sibling 3 Name:
Sibling 3 Date of Birth:
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What grade is sibling 3 in?
I understand that my child’s enrollment will be counted by the school district in which my child resides, and my child will be considered a student of that school district, regardless of where my child is actually enrolled. *
Required
I understand that the Prekindergarten Program in which my child is enrolled will release information regarding my child’s attendance, as well as any Teaching Strategies GOLD assessment information, with the Windsor Central Supervisory Union, the sending school district, and the Vermont Agency of Education. *
Required
The information provided on the Prekindergarten Registration Form is accurate and true to the best of my knowledge. *
Required
Parent/Guardian Signature: *
Entering my name here constitutes my legal signature, and it will be upheld as such.
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