CBPS Kindergarten Enrollment and Application Form 2021-2022
I hereby request attendance in the Cut Bank School District 15 system to be approved for the following named child (if multiple children, you will need to complete this form for each child). You will need to bring or mail a copy of the child's immunization record and birth certificate to the school by June 4th, 2021. They will not be assigned to a classroom in the fall without the school having BOTH documents on file.
You can email these documents to dehlert@cutbankschools.net
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Child's Full Name *
Gender *
Date of Birth *
MM
/
DD
/
YYYY
Mailing Address (include City, State, and Zip) *
Physical Address (include City, State, and Zip) *
Home Phone Number *
Is this number a landline or cell? *
Do you have internet at your residence? *
Child's Place of Birth *
Last School Attended *
Mother's Name *
Mother's Maiden Name *
Mother's Occupation *
Mother's Employer *
Mother's Work Phone *
Mother's Cell Phone *
Mother's email address *
Father's Name *
Father's Occupation *
Father's Employer *
Father's Work Phone *
Father's Cell Phone *
Father's email address *
Child lives with *
Number of Children in the family *
Child's birth order in family *
Other children in the family (please list name, grade, and age for each one) *
Is the child Hispanic or Latino? *
What is the child's race? (Mark ALL that apply) *
Required
Will bus transportation services be requested? *
Special classes  (Mark ALL that apply) *
Required
Please note any special needs, characteristics, or behaviors that would impact the student's education.
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