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2024-2025 Kindergarten Registration Form
Children who will be five years old by July 31, 2024, are eligible to register for the 2024-2025 school year.
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* Indicates required question
My child will be 5 by July 31, 2024.
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Yes
No
Child's First Name:
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Your answer
Child's Middle Name:
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Your answer
Child's Last Name:
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Your answer
Name of Parent(s)/Guardian(s):
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Your answer
Child's Date of Birth:
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MM
/
DD
/
YYYY
Child's Gender:
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Male
Female
Home/Primary Number:
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Your answer
Father's Cell Phone:
Your answer
Mother's Cell Phone:
Your answer
If/When school announcements and alerts need to be sent out, which phone number should be used?
Your answer
Physical Address:
Your answer
Mailing Address:
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Your answer
Race:
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Asian
American Indian or Alaskan Native
Black or African American
Caucasian
Hispanic
Primary Language Spoken at Home:
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Your answer
Name & Phone Number of Emergency Contact:
Your answer
Parent Email Address:
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Your answer
Father's Place of Employment & Phone:
Your answer
Mother's Place of Employment & Phone:
Your answer
Name and age of any younger siblings:
Your answer
List any physical and/or medical conditions (including allergies):
Your answer
Thank you for completing the survey & please feel free to leave any additional comments in this section. If you have any questions, please contact me at Brittany.Bromley@k12.nd.us or by calling the school at 465-3258. We look forward to working with you and your child in the coming school year.
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