2020-2021 New Student Notification Form

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Welcome to the learning community at the Daniel J. Bakie Elementary School, Kingston, NH. Please complete this form for each child to provide us with their information. Please know that it takes 2-3 full work days to process their enrollment after we receive all the completed enrollment forms.

For those of you who might not be aware, there is a reconfiguration that will take place next school year (2020-2021). D.J. Bakie School in Kingston will be home to students in Pre-K through grade 3 and Memorial School will be home to students in grades 4 through 6. Preschool enrollment is done on a lottery basis during the start of each calendar year.

Email *

Student's First Name *

Student's Last Name *

Please select your child's grade they will be entering. *

Preschool 3 year old program

Preschool 4 year old program

Grade Kindergarten

Grade 1

Grade 2

Grade 3

Date of Birth (mm/dd/yyyy) *

YYYY

Gender *

Female

Male

Parent/Guardian's First and Last Name *

Telephone *

House/P.O. Number *

Street Name *

Town *

Kingston

Newton

Does your child currently have an IEP (Individualized Educational Plan)? *

Yes

If you answered yes to the above question, please check the services they have been receiving.

Speech

Occupational Therapy (OT)

Title 1

504 Plan

Adapted PE

Resource Room

Do you have any special educational concerns for your child?

Yes

Clear selection

If you answered 'Yes' to the above question, please explain your concerns.

Are there any specific health concerns we should be aware of?

Yes

Clear selection

If yes above, please specify.

Is your child on any medication at school?

Yes

Clear selection

If yes above, please specify

Are there any other concerns you think we would be aware of?

Yes

Clear selection

If yes above, please specify.

Are there any custodial/guardianship agreements for this child? *

Yes - Please provide us with a copy of the legal documentation.

Maybe

What is the name and address of their current school? *

When would you like them to start? The 1st day is 9/8/2020. *

Do you have access to a computer *

Yes

Do you have access to a printer? *

Yes

Will you need to borrow a device in the event we need to go to remote learning? This would be an ipad for grades K-2 and a chromebook for grade 3. *

Yes

Send me a copy of my responses.

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