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Kindergarten 2020-2021
Please fill out the following form for if you will have a student that will be attending Kindergarten the 2020-2021 school year. Kindergarten camp will be the beginning of August and we will send out information by the end of May. Thank you!
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Student Name
Your answer
Email address
Your answer
Child's Date of Birth
MM
/
DD
/
YYYY
Child's Gender
*
Male
Female
Child lives with:
*
Both parents
Mother
Father
Foster Parent(s)
Other:
Mother's Name
*
Your answer
Father's Name
*
Your answer
Child's Address
*
Your answer
Mailing Address
*
Your answer
Best Phone Number
*
Your answer
Additional Phone Number
*
Your answer
Is your child receiving any special services (i.e. speech therapy, special education)?
*
Yes
No
Does your child have an IEP (Individualized Education Program?
*
Yes
No
Will your child need transportation? (Only those outside of city limits will qualify.)
*
Yes
No
Did your child attend a preschool?
*
Yes
No
If you said yes above, please put what preschool, location, and how many years attended.
Your answer
Does your child have any food allergies?
*
Yes
No
If you said yes above, please list all allergies.
Your answer
Please list the names of the individuals allowed to pick up your child.
*
Your answer
Will your child be attending Kindergarten Camp? (Camp will be August 3rd - 7th: 8:00 - 11:00 a.m.)
*
Yes
No
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