Kindergarten Pre-Registration 2024-2025
Your child must be 5 years old on or before September 1, 2024.


This website will assist us in determining residency.
https://www.greatschools.org/school-district-boundaries-map/
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Student Information
Legal Last Name *
Legal First Name *
Full Middle Name (No Initials) *
Date of Birth *
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State of Birth *
Gender *
Race (Mark all that Apply) *
Required
Student lives with: *
Home Address *
City *
Is this a temporary living arrangement due to loss of housing or financial problems?
Clear selection
Mailing Address *
City *
What language did/does the student...
Child's spoken language *
Parents' spoken language: *
Siblings
Sibling names and grades (if enrolled at Cumberland) *
Parent/Guardian Information
Parent/Guardian 1
Last Name *
First Name *
Parent/Guardian 1 is: *
Is this parent's/guardian's address the same as the student? *
If no, what is Parent/Guardian 1's address?
Parent/Guardian 1's phone number: *
Does this number accept text messages? *
Parent/Guardian 1's email address: *
Parent/Guardian 1's Employer: *
Parent/Guardian 1's work phone number: *
Does Parent/Guardian 1 have authority to pick up from school? *
Parent/Guardian 2
Last Name *
First Name *
Parent/Guardian 2 is: *
Is this parent's/guardian's address the same as the student? *
If no, what is Parent/Guardian 2's address?
Parent/Guardian 2's phone number: *
Does this number accept text messages? *
Parent/Guardian 2's email address: *
Parent/Guardian 2's Employer: *
Parent/Guardian 2's work phone number: *
Does Parent/Guardian 2 have authority to pick up from school? *
Emergency/Sign-Out Contacts (Other than Parents/Guardians)
Emergency Contact 1
Last Name *
First Name *
Relationship *
Cell Phone *
Emergency Contact 2
Last Name *
First Name *
Relationship *
Cell Phone *
Parent/Guardian Signature
I understand that a student admitted under false information is illegally enrolled and will be dismissed or reassigned from the Cumberland Unit District 77 School System upon discovery. I further understand that it is my responsibility as the Parent/Guardian to immediately inform the school district of any changes to the information provided. 
Type Name for Parent/Guardian Signature *
Today's Date *
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