BEES Kindergarten Registration
Last Name *
Your answer
First Name *
Your answer
Middle Name
Your answer
Parent Name *
Your answer
Address *
Your answer
City *
Your answer
Zip *
Your answer
Telephone #1 *
Your answer
Telephone #2
Your answer
Birthplace
Your answer
Birthdate *
MM
/
DD
/
YYYY
Age as of September 1st *
Your answer
Race *
Sex *
Father Name
Your answer
Father Date of Birth
MM
/
DD
/
YYYY
Father's Employer
Your answer
Father's Employer Number
Your answer
Mother
Your answer
Mother's Date of Birth
MM
/
DD
/
YYYY
Mother's Employer
Your answer
Mother's Employer Number
Your answer
Submit
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