Adena Local Schools Kindergarten Registration 2020-21 School Year

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

IMPORTANT: If you already have an appointment for kindergarten registration, you DO NOT need to fill out this from.

If you have a child that will be entering kindergarten for the 2020-21 school year, please fill out the form below. REMINDER: the child must be 5 years of age on or before August 1, 2020. If you have any questions, please contact one of our elementary secretaries, Mrs. Timmons: lisa.timmons@adenalocalschools.com or
Mrs. Shiplett: angie.shiplett@adenalocalschools.com.

Child's First Name *

Child's Last Name *

Child's Date of Birth *

YYYY

Mother's First and Last Name *

Father's First and Last Name

Residential Parent's Address (must reside in Adena Local School District) *

Who does the child live with? *

Residential Parent's Phone Number *

Residential Parent's Email Address *

Does your child currently attend Pre School? *

Yes

Name of Child's PreSchool

Name of Parent/Guardian filling out this form *

Submit

Clear form

Never submit passwords through Google Forms.

This form was created inside of Adena Local School District. Report Abuse

Forms