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South Windsor Public Schools Registration
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* Indicates required question
Which school year are you registering child for?
*
2021-2022 current school year
2022-2023 school year
If you are applying for the current school year, please provide the potential date you would like your child to start school.
MM
/
DD
/
YYYY
Student's First Name
*
Your answer
Student's Middle Name
Your answer
Student's Last Name
*
Your answer
Student's Generation Suffix (if applicable)
i.e., Jr., II
Your answer
Student's Gender
*
Female
Male
Non-binary
Student's Date of Birth
*
MM
/
DD
/
YYYY
Grade Level Student Entering
*
Pre-School Outreach Program (POP) - SWPS does not have a public pre-school program
Pre-School - Child Find Form for Screening
Kindergarten
Grade 1
Grade 2
Grade 3
Grade 4
Grade 5
Grade 6
Grade 7
Grade 8
Grade 9
Grade 10
Grade 11
Grade 12
School Enrolling
*
Eli Terry Elementary School (Grades K-5)
Orchard Hill Elementary School (Grades K-5)
Philip R. Smith Elementary School (Grades K-5)
Pleasant Valley Elementary School (Grades K-5)
Timothy Edwards Middle School (Grades 6-8)
South Windsor High School (Grades 9-12)
Pre-School Outreach Program (POP)
Not Sure
Does the student require special education services?
*
Yes
No
Primary Phone Number
*
000-000-0000
Your answer
Is the primary phone number provided above a home phone or mobile number?
*
Home
Mobile
Student's Street Address
*
99 Main Street (ie.)
Your answer
Apt/Suite # if applicable
Your answer
City
*
Your answer
Zip Code
*
Your answer
Are you the parent of this student?
*
Yes
No
If you are not the parent of the student, please explain.
*
Your answer
Name of Contact #1 (Parent/Guardian)
*
Your answer
Contact #1 E-mail Address
*
Your answer
Contact #1 Mobile Phone Number
*
Your answer
Name of Contact #2 (Parent/Guardian)
Your answer
Contact #2 E-mail Address
Your answer
Contact #2 Mobile Phone Number
Your answer
Does Contact #2 reside with the student at address listed above?
Yes
No
Clear selection
Have you moved to South Windsor in the past two years?
*
Yes
No
Transferring in from another school? Please provide name of school, city and state.
Your answer
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