Bethel Lower Elementary Kindergarten Enrollment for New Students for the 2020-2021 School Year

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This form is to be completed for Kindergarten students who reside within the Bethel Public School district and are new to the school district. (If your child attended Bethel Public Schools during the 2019-2020 school year, parents/guardians do not need to complete this Google form.)

To finalize enrollment and secure your child's spot, parents/guardians must have proof of residency emailed to bleenrollment@bethelwildcats.com or mailed to BLE Enrollment c/o Bethel Public Schools 36000 Clear Pond Road Shawnee, OK 74801. Postmark must be dated no later than May 22, 2020. For proof of residency, Bethel Public Schools can only accept a current (February 2020 or more recent) utility bill (water, electric, or natural gas) in the parent/guardian's name. You should send a complete bill with both the service address and mailing address.

Enrollment packets will be completed at a later date after proof of residency has been received and verified. Along with enrollment packets, parents/guardians must provide copies of their child's birth certificate, immunization records, and CDIB card (if applicable).

Is your Kindergarten student a resident of Bethel Public Schools? *

Yes

Kindergarten Student's Full Name (first, middle, last) *

Kindergarten Student's Date of Birth *

YYYY

Kindergarten Student's Physical Address (street address, city, zip code) *

Kindergarten Student's Current Age *

Kindergarten Student's Gender *

Female

Male

Parent/Guardian's Name with whom the Kindergarten Student Resides #1 (first, last) *

Parent/Guardian's Cell Phone Number #1 (include area code) *

Parent/Guardian's Email Address #1 *

Parent/Guardian's Name #2 (first, last)

Parent/Guardian's Cell Phone Number #2 (include area code)

Parent/Guardian's Email Address #2

Parent/Guardian's Name #3 (first, last)

Parent/Guardian's Cell Phone Number #3 (include area code)

Parent/Guardian's Email Address #3

Is your Kindergarten student receiving any of the following services through school or an outside agency? *

Individualized Education Plan (IEP) Services for Special Education

504 Services

English-Language Learner (ELL) Services

Speech Therapy

Occupational Therapy (OT)

Physical Therapy (PT)

Counseling Services

Visual Therapy

Hearing Impaired Services

My Kindergarten student is not receiving any services at this time.

Other:

Required

Has your Kindergarten student attended any of the following? *

Head Start

Daycare

Accredited Public or Private School

Unaccredited School

My Kindergarten student has not attended any childcare facility or school outside of the home.

Other:

Required

Has your Kindergarten student been retained? *

Yes, my Kindergarten student has repeated PreK.

No, but my Kindergarten will be repeating Kindergarten in the 2020-2021 school year.

No, my Kindergarten student has not been retained.

Other comments or background information about your Kindergarten student that might be helpful to Bethel Lower Elementary.

In order to finalize enrollment and secure my child's spot, I understand that I must send proof of residency no later than May 22, 2020. *

Yes

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