KITS Registration Form
Thank you for your interest in Bethel’s Kids in Transition to School (KITS) program! The KITS program is a school readiness intervention developed at Oregon Social Learning Center. It is designed for students and parents/guardians and is open to all kindergarten students starting in Bethel in the fall of 2024. Space is limited. Sessions are filled on a first come, first serve basis.  

Your individual family information will be kept confidential. You may skip any question you do not wish to answer.

If you need assistance, contact Krista Bushnell at 541-607-1434 or krista.bushnell@bethel.k12.or.us
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Email *
First name of child entering Kindergarten *
Last name of child entering Kindergarten *
Name of school where your child will start Kindergarten.  If you live outside of Bethel’s boundaries, please contact Krista Bushnell at 541-607-1434. *
Child’s date of birth *
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Gender of child
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First name of family member/caregiver 1 *
Last name of family member/caregiver 1 *
Phone number of family member/caregiver 1 *
Ok to send text messages? *
Email address of family member/caregiver 1 *
Street address of family member/caregiver 1 *
First name of family member/caregiver 2
Last name of family member/caregiver 2
Phone number of family member/caregiver 2
Ok to send text messages?
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Email address of family member/caregiver 2
Street address of family member/caregiver 2
How do you describe the race/ethnicity of this child?   Check all that apply.
What language(s) do you speak at home? Check all that apply.
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