Kindergarten Roundup 2018
Pre-Registration for Kindergarten 2018-2019. Students currently attending a pre-school program at the Early Childhood Center do not have to fill out this form.
Students must be 5 years old on or before September 1, 2018.
Student LAST Name *
Your answer
Student FIRST Name *
Your answer
Student MIDDLE Name *
Your answer
Student Date of Birth *
MM
/
DD
/
YYYY
Gender *
Physical Address *
Street Address
Your answer
City
Your answer
Zipcode
Your answer
Contact Phone Number *
XXX-XXX-XXXX
Your answer
Does this student have a sibling who already attends Coal City Schools? *
If yes, name of sibling already attending Coal City Schools.
First Name and Last Name
Your answer
Your FIRST Name *
Your answer
Your LAST Name *
Your answer
Your relationship to this student? *
Parent Email Address *
Used to Communicate Important School Information
Your answer
Desired User Name *
For access to PowerSchool & Registration Documents
Your answer
Select a time for you and your child to attend a screening on Wednesday, April 11, 2018. *
Submit
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