Please complete and submit this form so that the SEBRSD schools can best meet the needs of your child and your family.
Please complete and submit one form for each of your children that will be in one of the following grades next year; Pre-Kindergarten, Kindergarten, 1st, 2nd, 3rd. One form for each child is requested.
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Parent's Last Name *
Parent's First Name *
Child's Full Name *
Child's Full Address (Street, Apt #, Town) *
Best phone number to reach you
Best email to reach you
In the fall, this child will be in this grade: *
My child receives services or supports through (check all that apply):
With appropriate safety and social distancing measures in place, do you intend on sending your child back to school for in-person classroom learning by participating in the schools' PreK – 3 Hybrid Model? Students in this hybrid model will receive in-school classroom instruction Mon-Thurs one week and will remote learn the alternate week.
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