RUSSELL ELEMENTARY SCHOOL           Kindergarten Registration 2022-2023      

Students who live in Rumney and who are 5 years old as of September 30, 2022 are encouraged to attend RES Kindergarten!  

Sign in to Google to save your progress. Learn more
Email *
Name of Student *
Birthdate *
MM
/
DD
/
YYYY
Physical Address *
Mailing Address *
Parent/Guardian Name *
Parent/Guardian Name *
Parent/Guardian Address *
Parent/Guardian email-primary email *
Parent/Guardian email - secondary email *
Home phone *
Work phone *
Cell phone *
Place of Birth *
Male or Female *
Race: *
Required
Emergency Contact information.  First & Last name, Address and Phone #: Please list (2) *
For 2022-2023 you will need to bring in a copy of the following:  *Copy of Birth Certificate & Social Security Card.  *A recent physical or an appointment card showing  an appointment scheduled with the doctor before school begins.  *Immunization Records.    *Proof of Residency form (included in this google form) - including one of the following: Tax Bill, Electric Bill, Lease/ purchase and sale agreement.
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of SAU 48 - Pemi-Baker Regional School District. Report Abuse
Google Forms