2020-2021 4K Student Data

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Please enter information for 4K students beginning in the fall of 2020.

At this time, we are only in the collection process. We will contact you as soon as we have more information to share, such as upcoming meeting dates. Feel free to contact us at any time if you have any questions prior to upcoming meetings. Email contact is Mrs. Nadine Westphal: nwestphal@rvschools.org

~ Tips to be prepared for registration ~
* We will ask to view your child's birth certificate.
* If applicable to your situation and your family is that of a separated household, we will ask for custodial paperwork.

Email *

Student Legal LAST Name *

Student Legal FIRST Name *

Student Legal MIDDLE Name *

Gender *

Female

Male

Date of Birth *

YYYY

Physical Street/Road Address (If Mailing Address is different, enter below) *

City *

State *

Zip Code *

Mailing Address (If different than physical address. Please include address, city, and zip code).

Biological Mother's Full Name *

Does biological mother live at same address as student? *

Yes

Mother's Address** (**ONLY if different than student's)

Mother's Telephone Number *

Mother's E-Mail Address *

Biological Father's Full Name *

Does biological father live at same address as student? *

Yes

Father's Address** (**ONLY if different than student's)

Father's Telephone Number

Father's E-Mail Number

4K School that your child will be attending in the Fall of 2020. *

River Valley 4K Program at RV Early Learning Center (Plain, WI)

St. John's - Spring Green

St. Luke's - Plain

Other:

Questions or Comments - Please type below.

A copy of your responses will be emailed to the address you provided.

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