JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Prospective Student Survey
Welcome to the D91 community and thank you for joining our registration mailing list! Enter your information and your child's details below.
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Email
*
Your email
Child 1 Name:
*
Your answer
Child 1 Grade for the 24-25 school year:
*
K
1
2
3
4
5
6
7
8
Required
Child 1 Date of Birth:
*
MM
/
DD
/
YYYY
Child 1 Gender:
*
Male
Female
Prefer not to say
Other:
Please provide the name, grade, gender, and date of birth for all additional children expected to enroll in D91 schools.
Your answer
Parent or Guardian Name
*
Your answer
Phone Number
*
Your answer
Street Address (in district)
*
Your answer
Residency Circumstance:
*
Own
Rent (with current lease)
Rent (no current formal lease)
Live with District Resident
Other:
Prior School Attended
*
Your answer
Does your child(ren) have an IEP or receive any special services?
*
Your answer
A copy of your responses will be emailed to the address you provided.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
Privacy
Terms
This form was created inside of Lockport School District 91.
Report Abuse
Forms
