2022-23 Kindergarten Pre-Registration

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Pre-register your child for kindergarten at Southmont Schools by April 1, 2022 using the form below.

After completion, you will be contacted by the school to schedule a school screening at the building your student will attend.During this time you and your child will come to come to the school, receive a tour, meet some teachers and have your child complete a basic academic screening with one of our staff members. Please bring the following items with you: Your child’s birth certificate, proof of residency and any legal documents such as legal custody, educational rights etc.

You will then receive a letter in June with details on how to officially register your child for school. Registration will take place on July 29, 2022. Fees are not due until this time.

Child's First Name: *

Child's Middle Name: *

Child's Last Name: *

Child's Birthdate: *

YYYY

Child's Gender: *

Female

Male

Child's Ethnicity (check all that apply): *

American Indian or Alaskan Native

Black or African American

Asian

Hispanic

White

Native Hawaiian/Other Pacific Islander

Required

Home Address (include street address, city, state, and ZIP code): *

Mailing Address (if different than home address). Include address, city, state, and ZIP code:

What school would you like your child to attend for kindergarten? *

Ladoga Elementary School

New Market Elementary School

Walnut Elementary School

Does the child live within the boundary of the school you selected above? *

Yes

I don't know

My student lives outside of the district, but would like to transfer to Southmont Schools

Other siblings at Southmont Schools? *

Yes

If yes, please list the sibling's name(s) and school attending:

Student lives with: *

Both Parents

Father only

Mother only

Guardian(s)

First Parent/Guardian First Name:

First Parent/Guardian Last Name:

First Parent/Guardian Phone Number:

First Parent/Guardian Email Address:

Second Parent/Guardian First Name:

Second Parent/Guardian Last Name:

Second Parent/Guardian Phone Number:

Second Parent/Guardian Email Address:

Does your child receive any special education services? *

No, my child does not receive any special education services

Yes, my child receives special education services or speech services

My child is in the process of being tested for special education services

I don't know

Does your child have any health issues or allergies? *

No, my child does not have any health concerns or allergies

Yes, my child has a health concern or allergy

I confirm that the information provided on this application is complete and accurate. I understand that this is simply a pre-registration form, and my student will not be enrolled in kindergarten until official student registration on July 30, 2021. I understand that transportation is provided if I live within the boundaries of the Southmont School District. *

Yes

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