Columbiana Schools Kindergarten Registration

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Thank you for helping us collect this preliminary information. Upon our return to school and the receipt of proper documentation for your child, we will finalize the registration process.

You will soon receive a phone call to make a screening appointment for late August. Specific dates have not yet been determined. The screening process including the Kindergarten Readiness Assessment will take approximately one hour.

Parent or Legal Guardian Full Name *

Student's Residential Address *

Parent or Guardian Phone Number *

Parent or Guardian Email Address *

Student First Name *

Student Last Name *

Student Date of Birth *

YYYY

Check all that apply: *

Special Education-Evaluation Team Report (ETR)/Individual Education Plan (IEP)

504

Retention

None of the above apply for registering student

Required

Do you have any other students currently enrolled in the Columbiana Exempted Village School District? *

Yes

If yes, to previous, list sibling names and grades

Please indicate any additional information that will assist us in educating your child.

Submit

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