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Ringwood Elementary Enrollment Form
Please fill out to completion for each child that you are enrolling.
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* Indicates required question
Student Name - Last, First Middle
*
Your answer
Student Age
*
Your answer
Student Grade
*
Choose
Pre-K
Kindergarten
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
6th Grade
Student Social Security Number
*
Your answer
Student Birthdate
*
MM
/
DD
/
YYYY
Date Enrolled
*
MM
/
DD
/
YYYY
Father's Name
Your answer
Father's Work Phone
Your answer
Father's Cell Phone
Your answer
Father's Home Phone
Your answer
Mother's Name
Your answer
Mother's Work Phone
Your answer
Mother's Cell Phone
Your answer
Mother's Home Phone
Your answer
Student Mailing Address
*
Your answer
Student Physical Address
*
Your answer
City
*
Your answer
State
*
Your answer
Student Ethnicity
*
Your answer
Parent Email
*
Your answer
Do you have unlimited access to internet?
*
Yes
No
Maybe
What kind of device would your child be using?
Your answer
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