Galesburg CUSD #205 Pre-Registration
Please complete all fields so your student's information can be added to our prospective student registry.  Please enter only 1 student's information on this form. If you have more than 1 student to register, submit information for one first and then click the "Submit Another Response" link on the confirmation page.

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Email *
Are you registering for THIS school year or NEXT school year? *
Student First Name *
Student Last Name *
Student Date of Birth *
What grade will the student be entering? *
What school did the student most recently attend?
Student's Home Address *
City, State *
What language is primarily spoken in the home? *
Parent/Guardian First and Last Name *
Parent/Guardian Phone Number
Parent/Guardian Email Address
Do you have other children currently attending CUSD#205? *
A copy of your responses will be emailed to the address you provided.
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