2020-2021 Scott County Public School Kindergarten Registration
Please complete this form to pre-register your child for Kindergarten.   In the meantime, please be gathering the following required paperwork for delivery at a later time.
Physicals/Annual Well-Check- (Physicals are good for 1 yr. from the date they were received) Birth Certificate and updated immunization record,  THANKS!

Remember students must turn 5 by September 30, 2020 to enroll in Kindergarten for the upcoming school year.

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Parent / Guardian First Name *
Parent / Guardian Last Name *
Additional Parent / Guardian First Name
Additional Parent / Guardian Last Name
Home Address *
Telephone Number *
Email Address *
Child's First Name *
Child's Middle Name *
Child's Last Name *
Child's Date of Birth *
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DD
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Who does the child reside with? *
Which school will your child attend? *
Please list any siblings and include their first and last name, grade, and school they attend.
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