JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
ly Childhood Education Information Request
For more information regarding Bertha-Hewitt Early Childhood, please fill out the following information. If you have questions filling out the information, please call Lisa Wick at (218) 296-1048
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Child’s name
*
Your answer
Child’s Birthdate
*
MM
/
DD
/
YYYY
Age as of September 2023
*
Your answer
Next
Clear form
Never submit passwords through Google Forms.
This form was created inside of Bertha-Hewitt Public School District #786.
Does this form look suspicious?
Report
Forms
Help and feedback
Contact form owner
Help Forms improve
Report