Birth to 5 Registration
Welcome to the Baltic School District! Please fill out the following information for each child in your home who falls within the age range of birth - 5 years old. We use this information to ensure you are added to our district communication about screenings, preschool, and kindergarten. 
Name of first child (Last, First, Middle) *
Date of Birth of first child *
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Name of second child (Last, First, Middle)
Date of Birth of second child
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Name of third child (Last, First, Middle)
Date of Birth of third child
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DD
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YYYY
Name of Parent/Guardian #1 *
Parent/Guardian #1 Telephone Number *
Parent/Guardian #1 Email *
Name of Parent/Guardian #2
Parent/Guardian #2 Telephone Number
Parent/Guardian #2 Email
Physical Addess of Parent/Guardian *
Mailing Address of Parent/Guardian (if different than physical address)
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