Kingston 42 Enrollment Form
Enrollment for the 22-23 school year may also be filled out on paper.  Please contact the school at 816-586-3111 or Andrea.hieronymus@kingston42.com if you prefer to complete this form on paper.

Preschool Parents- Please be sure to also complete the preschool enrollment form.
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Last Name *
First Name *
Middle Name *
Previous School *
If your child is new to the Kingston 42 School District please provide the name and address of the school they last attended. If your child is a current Kingston Student or a preschool student new to Kingston  please type "Kingston Student".  
Grade Level *
Preschool Parents: Did you complete the separate Preschool enrollment form?
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Birthdate *
MM
/
DD
/
YYYY
Place of Birth *
Gender *
Residency *
With whom does the student reside?
Phone Number *
Home Address: *
First Parent/Guardian Name: *
First Parent/Guardian Address
(If different from above)
First Parent/Guardian Phone Number *
First Parent/Guardian Employer *
First Parent/Guardian Work Phone Number *
First Parent/Guardian email *
Second Parent/Guardian Name
Second Parent/Guardian Address
(If different from above)
Second Parent/Guardian Phone Number
Second Parent/ Guardian Employer
Second Parent/Guardian Work Phone Number
Second Parent/Guardian email
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