Shields Elementary Young 5s/Kindergarten Pre-Registration Survey
Shields Young 5s and Kindergarten Registration Day is from 9am-6pm on March 4th.

 The goal of this survey is to have an idea of the number of families that intend on being there.  

 *** THIS  DOES NOT REGISTER YOUR CHILD FOR ANYTHING!!

If you are coming to registration day, please bring your child's birth certificate, immunization record and 2 proofs of residency (e.g. phone or energy bill, car registration or tax form....  licenses will not suffice.)
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Child's Last Name *
Child's First Name *
Child's Date of Birth *
MM
/
DD
/
YYYY
Parent/Guardian Names *
Address *
Phone Number *
Email Address or Addresses (If two parents listed) *
School District Child Primarily Resides in *
Has the student attended Preschool before *
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