JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Pre-K/Kindergarten Registration Form
If you are having difficulties completing this form, please call 518-354-4218 for assistance. Please leave a message and someone will return your call as soon as possible.
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Email
*
Your email
Child's First Name
*
Your answer
Child's Middle Name
Your answer
Child's Last Name
*
Your answer
Birth Month
*
Choose
January
February
March
April
May
June
July
August
September
October
November
December
Birth Day
*
Choose
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Birth Year
*
Choose
2014
2015
2016
2017
2018
2019
2020
2021
2022
Entering Grade (choose PreK or K)
*
Choose
Pre-Kindergarten
Kindergarten
Name of Person Completing Form
*
Your answer
Relationship to Student
*
Your answer
Student Place of Birth (City & State)
*
Your answer
Student Gender
*
Female
Male
Prefer not to say
Primary Language
*
Your answer
Ethnic Origin (Check all that apply)
*
Hispanic/Latino
American Indian or Alaskan Native
Asian
Black or African American
Native Hawaiian or Other Pacific Islander
White
Prefer not to say
Required
Next
Page 1 of 6
Clear form
Never submit passwords through Google Forms.
This form was created inside of Tupper Lake Central School District.
Report Abuse
Forms
