Kindergarten Registration Form
Fill out the Kindergarten Registration Form to register your child for Kindergarten for the 2020-2021 School Year.

The Wynne School District does not discriminate on the basis of race, religious creed, national origin, physical handicap, sex or race.
Student's First Name *
Student's Middle Name *
Student's Last Name *
Student's Gender *
Student's Nickname *
Student's Birthdate *
Month, day, year format
Hispanic/Latino Ethnicity *
Student's Primary Language *
Race: Please answer the following in accordance with standards issued by the US Department of Education. (Only ONE may be selected.) *
Additional Races (Check all that Apply) *
Required
Student Physical/911 Address *
Address only
Student City, State, Zip Code *
Student City, State, Zip Code
Student Mailing Address *
Check if Mailing Address is same as Physical/911 Address; otherwise, check other and indicate the PO Box/Street or Rural Rd.
Required
Student Mailing Address City, State, Zip Code *
Check if Mailing Address is same as Physical/911 Address; otherwise, check other and indicate the City, State, and Zip Code.
Required
Primary Contact Number *
Number is used for automated phone message system.
Legal Guardian Status (Select one) *
Number is used for automated phone message system.
Legal Guardian 1 Name *
Legal Guardian 1 Relationship to Student *
Legal Guardian 1 Primary Language *
Legal Guardian 1 Language of Correspondence: *
Legal Guardian 1 Email Address: *
Legal Guardian 1 Primary Contact Phone: *
Legal Guardian 1 Work Phone: *
Legal Guardian 1 Cell Phone: *
Legal Guardian 1 Employer: *
Legal Guardian 2 Name: *
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