Kindergarten Round Up 2024-2025
This form is intended to collect information about potential Kindergarten students for the 2024-2025 school year.  Please complete it to the best of your knowledge.  The information collected will be used solely for the purpose of school planning.  You will still need to attend Registration in July to fully register.  It will be helpful if you also visit the school to provide copies of enrollment documentation including the following:

  • Original Birth Certificate (from Health Dept., not hospital)

  • Child must be 5 years old on or before August 1, 2024

  • Immunization Record

  • Legal Custody/Guardianship Papers (if applicable)

  • Proof of Address (legal guardian’s address on a utility bill or bank statement)

  • Medical History (allergies, dates of serious illnesses, accidents or surgeries)

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Email *
Child's First Name *
Child's Last Name *
Child's Date of Birth (Must be before 8/1/2019) *
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Parent (Mother) Full Name (First and Last)
Parent (Mother) Phone Number
Parent (Mother) Email Address
Parent (Father) Full Name (First and Last)
Parent (Father) Phone Number
Parent (Father) Email Address
Who has legal custody/guardianship of the child? (Please provide documentation if other than the mother/father listed on the birth certificate.) *
School of Enrollment *
Please list your child's preschool experience. *
Please list any educational concerns that you have about your child. *
Please list any medical concerns (allergies, diagnosis, etc.) that you have about your child. *
Please list names and ages of your child's siblings. *
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