JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
20-21 Burroughs Back-To-School Registration - English
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Student First Name
*
Your answer
Student Last Name
*
Your answer
Student Grade
*
Kindergarten
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
Other:
Name of Student's Teacher and/or Room Number
*
Your answer
Student Home Address
*
Your answer
First/Last Name of Parent/Legal Guardian #1
*
Your answer
Relationship of Parent/Legal Guardian #1 to student
*
Mother
Father
Legal Guardian
Relative
Other:
Home Address of Parent/Legal Guardian #1 (if different than student home address)
Your answer
Email of Parent/Legal Guardian #1
*
Your answer
Contact phone number(s) of Parent/Legal Guardian #1 (please indicate if phone is cell/home/work)
*
Your answer
First/Last Name of Parent/Legal Guardian #2
Your answer
Relationship of Parent/Legal Guardian #2 to student
Mother
Father
Legal Guardian
Relative
Other:
Clear selection
Address of Parent/Legal Guardian #2 (if different than student)
Your answer
Email of Parent/Legal Guardian #2
Your answer
Contact phone number(s) of Parent/Legal Guardian #2 (please indicate if phone is cell/home/work)
Your answer
Next
Clear form
Never submit passwords through Google Forms.
This form was created inside of Minneapolis Public Schools.
Report Abuse
Forms
