Kindergarten Information 2020-2021
We are excited to welcome your family to our school! Please complete this form for us so we can prepare for Kindergarten Family Night.
Please choose your child's home school district.
East Bend Elementary
Fall Creek Elementary
West Yadkin Elementary
I am not sure which school is my home school district.
Student Name (last, first, and middle)
Male or Female
American Indian/Alaskan Native
Child lives with
Mother's name (or guardian/grandparent)
Mother's Home phone number
Mother's cell phone number
Mom's email address
Street Address and City
Mailing address (if different from above)
Mom's Place of work
Work phone (for an emergency)
Dad's home phone number if different than Mom's
Dad's cell number
Dad's street address
Dad's mailing address if different from above
Dad's place of work?
Dad's business phone (in case of emergency)
Does your child have sibling(s) already attending school? If so, please list their name (s) and grade(s).
Does your child attend preschool, headstart, or daycare? If yes, please list the name.
Does your child have any medical needs that we need to be aware of?
Does your child have any other needs that you would like us to know about? If yes, please explain.
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This form was created inside of Yadkin County Schools.