SVP Kindergarten Pre-Enrollment Form

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Please fill out the following form so we will know how to contact you to formally enroll your incoming Kindergarten student for the 2021-2022 school year. Immunization records and a birth certificate will need to be provided when formally enrolling. You will be contacted by the school in the summer before school starts to explain procedures for formally enrolling in Kindergarten.

Email *

Child's Last Name *

Child's First Name *

Date of Birth *

YYYY

Gender *

Female

Male

Ethnicity *

Caucasian/White

African American

Hispanic

Asian/Pacific Islander

American Indian/Alaskan Native

Other:

Parent/Guardian Name(s) *

Physical Address (include city and zip code) *

Mailing Address (include city and zip code) *

Phone Number *

Does your child have an IEP or 504 Plan? *

Yes an IEP

Yes a 504 Plan

Home language spoken *

English

Spanish

Other:

Are you interested in the dual language (Spanish) program? *

Yes

A copy of your responses will be emailed to the address you provided.

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