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Cooks Corners Elementary School New Student Information 2021-2022
Please complete and submit the information below to pre-register your child. The school will contact prior to the start of the 2021-2022 school year.
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Prihlásiť sa do Googlu
.
Ďalšie informácie
* Označuje povinnú otázku
STUDENT'S First Name
*
Vaša odpoveď
STUDENT'S Last Name
*
Vaša odpoveď
Preferred Name
Example: Michael - Mike
Vaša odpoveď
Gender
*
Female
Male
Student's Date of Birth
*
Student must be 5 years old prior to August 1, 2021 to attend kindergarten
DD
.
MM
.
RRRR
Student's Birth City
*
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Student's Birth State
*
Vaša odpoveď
Ethnicity
*
Check all that apply
Hispanic/Latino Ethnicity
American Indian or Alaskan Native
Asian
Black or African American
Native Hawaiian or Other Pacific Islander
White
Povinné
Student's House Number
*
Example: 305
Vaša odpoveď
Student's Street Name
*
Example: Franklin St - please use abbreviation Ave, Ct, Dr, Ln, Pkwy, Pl, Rd, St, Ter
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Apartment
Example: 1/A
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Student's Zip Code
*
46383
46385
Student Primary Contact Number
*
Enter Primary Number In This Format: 219-531-3000
Vaša odpoveď
Select Phone Type
*
Cell
Landline
Custodial Parent Last Name, Mother's First Name/Father's First Name
*
Example: Smith, Jane/John
Vaša odpoveď
Custodial Parent Relationship
*
Father/Mother
Father Only
Mother Only
Father/Stepmother
Mother/Stepfather
Legal Guardian
Other
Custodial Parent's Email Address
*
Type: 'None' if you do not have email
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Non-Custodial Parent's Email Address
Vaša odpoveď
Mother's Last Name
Vaša odpoveď
Mother's First Name
Vaša odpoveď
Mother's Primary Contact Number
*
Enter Primary Number In This Format: 219-531-3000
Vaša odpoveď
Select Phone Type
*
Cell
Landline
Father's Last Name
Vaša odpoveď
Father's First Name
Vaša odpoveď
Father's Primary Contact Number
*
Enter Primary Number In This Format: 219-531-3000
Vaša odpoveď
Select Phone Type
*
Cell
Landline
Is Engish the primary language spoken at home?
*
Yes
No
List other language(s) spoken at home
Vaša odpoveď
Does your child have any special needs
*
Yes
No
Has your child been evaluated or received services from Porter County Educational Services?
*
Please let us know if they attend SELF now or have in the past
Vaša odpoveď
Describe any special needs information
Vaša odpoveď
Does your child have siblings at this or any other VCS school?
*
Yes
No
Names and Grade of Siblings
Sibling Name: Last, First & Grade
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