Kindergarten Round-Up May 2, 2023
Please complete this form if you plan to attend Kindergarten Round-Up with your child 
May 2nd at Washington Elementary, 406 E. Madison Ave. 
Please also complete enrollment paperwork prior to this date and turn it in at the ACT Office, 403 S. 20th St.

May 2nd Schedule:
9:00-11:00 - Attend if child's last name starts with A-K
12:30-2:30 - Attend if child's last name starts with L-Z
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Email *
Student Legal First Name *
Student Legal Middle Name
Student Legal Last Name *
Student's Gender *
Student's Date of Birth (must be 5 on or before 9/15/2023) *
MM
/
DD
/
YYYY
Did the Student Attend Preschool? *
If Yes, Name & Location of Preschool *
Does your child have an IEP? *
Primary Language Used at Home *
Required
Full Name(s) of Parent/Guardian Attending KG Round-Up with Child *
Parent Phone Number *
Parent Email Address *
A copy of your responses will be emailed to the address you provided.
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