K-12 Registration Survey
Please fill out this survey to be contacted for Kindergarten to Grade 12 Registration.
Complete esta encuesta para ser contactado para registrar a estudiantes de Kindergarten al grado 12.
* Required
Email address
*
Your email
GRADE/GRADO
Registrations for Pre-K and Adult Education must be done separately./Las inscripciones para pre-escolar y educación para adultos deben hacerse separadamente.
*
KINDERGARTEN
1ST GRADE
2ND GRADE
3RD GRADE
4TH GRADE
5TH GRADE
6TH GRADE
7TH GRADE
8TH GRADE
9TH GRADE
10TH GRADE
11TH GRADE
12TH GRADE
Preferred Language
*
Elige idioma
English
Español
Parent/Guardian's Name
*
Nombre del Padre/Guardian
Your answer
Home Address
*
Dirección de la casa
Your answer
Phone Number
*
Número de teléfono
Your answer
Child's Name
*
El nombre del niño/niña
Your answer
Child's Date of Birth
*
Fecha de nacimiento del niño/niña
MM
/
DD
/
YYYY
Does (or did) your child receive Early Intervention Services?
¿Recibe o recibió su hijo(a) servicios de intervención temprana?
Yes
No
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