Incoming Kindergarten Student Information for 2019-2020
Welcome to kindergarten! Please complete all portions of this form so we may pre-register your incoming kindergarten student. You will receive Powerschool access information at a later date so you may complete the online registration process in July. REGISTRATION: July 15th-Online opens... or... Walk-In date TBD.
School (based on boundary where you live) *
Student's First Name *
Your answer
Student's Middle Name *
Your answer
Student's Last Name *
Your answer
Date of Birth *
Students must be 5 years old by August 1, 2019 to attend the 2019-2020 school year. Contact our administrative office if you would like to learn more about the possibility of Early Kindergarten Entrance (317) 462-4434.
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Gender *
Street Address *
Your answer
City *
Your answer
Zip Code *
Your answer
Primary Phone Number *
Your answer
Child lives with: *
Required
Father's Name (first, last) *
Biological Father's First & Last Name
Your answer
Mother's Name (first, last) *
Biological Mother's First & Last Name
Your answer
Best Email Address for Communication *
For more than one address separate with a comma.
Your answer
Does your child have any siblings that will also be attending our school next year?
If YES, please list here. If NO, you may leave this blank.
Your answer
Emergency Contact #1
In case of emergency, please contact:
Name (first, last) *
Your answer
Relationship to Child *
Your answer
Best Phone Number to Call *
Your answer
Emergency Contact #2
Name (first, last) *
Your answer
Relationship to Child *
Your answer
Best Phone Number to Call *
Your answer
List Any Medical Conditions/Allergies (if student does not have any medical conditions or allergies please write none) *
Your answer
**In case of an emergency, and I or a member of my family cannot be contacted, I give my permission for the school authorities to seek medical treatment for my child, and I assume responsibility for such emergency expenses.** *
Student's Most Accurate Racial or Ethnic Background *
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