2023 - 2024 Kindergarten Pre-Registration and Preference Form

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This form must be completed by current and new families. The form should be completed for each student attending Kindergarten for the 2023-2024 School Year. Please complete this form in its entirety.

Email *

Parent / Guardian Completing Form Full Name *

Student Last Name *

Student First Name *

Student FULL Middle Name *

Student Date of Birth *

YYYY

Email *

Town of Residence *

Phone number *

School where your child will attend Kindergarten. Please be sure to check the street listing for school assignment on the GDRSD website Student Registration Page.

Swallow-Union Elementary School

Florence Roche Elementary School

Kindergarten Preference *

Is your child currently on an IEP? *

Yes

Comments

Did your child attend Pre-School or Day Care? *

Yes, Licensed Family Day Care less than 20 hours a week

Yes, Licensed Family Day Care greater than 20 hours a week

Yes, Center Based Program less than 20 hours a week

Yes, Center Based Program greater than 20 hours a week

Both Center Based Program and Licensed Family Day Care

Other:

Is your child currently registered and attending Pre-School at Boutwell? *

Yes

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