Fayette Elementary 2020-21 Kindergarten Registration
Must be completed by Parent/Legal Guardian
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电子邮件地址 *
Date *
年
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月
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日
School *
Student's Last Name *
Student's First Name *
Student's Middle Name *
Student's Date of Birth *
年
/
月
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日
Student's Sex *
Student's Home Phone *
Student's Physical Address Including City and Zip Code *
Student's Mailing Address Including City and Zip Code *
Student Lives With (choose one) *
Student's Race *
Student's Social Security Number (voluntary)
Mother's/Guardian's Name (verification shall be in accordance with local school board policy) *
Mother's/Guardian's Address *
Mother's/Guardian's Email Address *
Mother's/Guardian's Cell Phone *
Mother's/Guardian's Employer *
Mother's/Guardian's Work Phone *
Father's/Guardian's Name (verification shall be in accordance with local school board policy) *
Father's/Guardian's Address *
Father's/Guardian's Email Address *
Father's/Guardian's Cell Phone *
Father's/Guardian's Employer *
Father's/Guardian's Work Phone *
Special Information about Custody *
Emergency Contact #1 Name *
Emergency Contact #1 Relation *
Emergency Contact #1 Phone (Please list numbers other than your own) *
Emergency Contact #2 Name *
Emergency Contact #2 Relation *
Emergency Contact #2 Phone (Please list numbers other than your own) *
Did the student attend pre-school? *
If the student attended pre-school, list the name of the school.
If the student is currently receiving special education services, please contact the school counselor so she can document the services that are being received.  Fayette Elementary:  Brandi Davis - 205.932.3161.  
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