JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Kindergarten Round Up for 2023-2024
Welcome to Pembroke! We look forward to meeting you and your family!
Kindergarten Round-Up is Jan. 25, at 6:30 PM
Sign in to Google
to save your progress.
Learn more
1. Child's First Name
Your answer
2. Child's Last Name
Your answer
3. Child's Birthdate
MM
/
DD
/
YYYY
4. Parent/Guardian's Name
Your answer
5. Street Address
Your answer
6. City, State, Zip Code
Your answer
7. Phone Number
Your answer
Email Address
Your answer
Current Preschool
Your answer
Please Choose One:
My child will attend Pembroke in the fall of 2023
At this time, I'm uncertain where my child will attend Kindergarten
I am interested in the Junior Kindergarten Program (Birth dates between June 1 and December 1)
Clear selection
Other Notes/Comments
Your answer
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Birmingham Public Schools.
Report Abuse
Forms
