Kindergarten Pre-Registration

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Kindergarten Pre-Registration will only need to be completed if a student did not attend St. Anne Grade School's Pre-School Program but plans to attend Kindergarten in the fall of 2021. Students must turn five (5) on or before September 1st. Any Questions, please contact the front office at 815-427-8153. Please complete the following form by Friday, May 7th.

Student's Legal Name (from birth certificate or court documentation) *

Date of Birth *

YYYY

Gender *

Female

Male

Race (Select all that apply) *

American Indian or Alaska Native

African American or Black

Asian / Pacific Islander

Hispanic

White

Father (or Guardian) *

Mother (or Guardian) *

Street Address (including P.O. Box, City, State, & Zip Code) *

Primary Telephone Number *

Primary E-mail Address *

Submit

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