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Kindergarten Registration 2024-2025
Children entering Kindergarten must be five years old by DECEMBER 1st, 2024. You may call the VEW office for additional information at (607) 776-3301, ext. 1061.
STUDENT ID#______________________________ ENROLLMENT DATE_______________________________
(OFFICE USE ONLY)
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* Indicates required question
Student First Name
*
Your answer
Student last name
*
Your answer
Student middle initial
*
Your answer
Sex
*
Female
Male
Date of Birth
*
MM
/
DD
/
YYYY
Place of Birth (City, State)
*
Your answer
Home address
*
Street, City, State, zip code
Your answer
Mailing address (if different)
Your answer
Ethnicity
Hispanic/Latino
Not Hispanic/Latino
Clear selection
Race
American/Indian or Alaska Native
Asian
Black or African American
Native Hawaiian or Other Pacific Islander
White
Clear selection
Student currently lives with:
*
Your answer
Student's First Language
*
Your answer
School District residing in
*
Your answer
Father's Name
Your answer
Father's Home address (if different than student)
Your answer
Father's Mailing address (if different than student)
Your answer
Father's Phone number (home or cell)
Your answer
Father's Employer
Your answer
Father's work phone number
Your answer
Father's email address
Your answer
Mother's Name
Your answer
Mother's Home Address (if different than student)
Your answer
Mother's Mailing Address (if different than student)
Your answer
Mother's phone number (home or cell)
Your answer
Mother's Employer
Your answer
Mother's work phone number
Your answer
Mother's email address
Your answer
Legal Guardian's Name (if other than above)
Your answer
Legal Guardian's home address (if different than student)
Your answer
Legal Guardian's Mailing address (if different than student)
Your answer
Legal Guardian's phone number (home or cell)
Your answer
Legal Guardian's Employer
Your answer
Legal Guardian's work phone number
Your answer
Legal Guardian's email address
Your answer
Student's siblings
List name, date of birth, grade/education for each sibling
Your answer
Is the child currently in foster care?
*
Yes
No
Foster Agency
Your answer
Foster Parent's name (s)
Your answer
Case worker name
Your answer
Does the student have any of the following:
Individualized Education Plan (IEP)
504 plan
Speech services
Occupation therapy (OT)
Physical therapy (PT)
Remedial services
Other:
If any boxes are checked above, please explain here:
Your answer
School student previously attended (if applicable)
List name, address, phone #, fax #, and date the student left the school
Your answer
Will student need bus transportation?
*
Yes
No
Please state any unusual circumstances regarding custody or guardianship
You must provide the school office with copies of any legal documents pertaining to custody
Your answer
Additional questions or comments:
Your answer
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