Kindergarten Information for Hiawatha Elementary School
Student Last Name *
Student First Name *
Student's Date of Birth *
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DD
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YYYY
Gender *
Student's Address *
Parent/Guardian #1 Name *
Parent/Guardian #1 Email *
Parent/Guardian #1 Phone Number *
Parent/Guardian #2 Name
Parent/Guardian #2 Email
Parent/Guardian #2 Phone Number
Anticipated Plans for Kindergarten (Check all that apply) *
Required
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