20-21 WMPCS New Student & Kindergarten Forms

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The following forms are for new students and Kindergarten students enrolled at Washington Montessori Public Charter School for the 2020-21 school year. This year we are requiring all students, returning or new to complete the forms in order to ensure your contact information is correct and up to date. These forms will take approximately 5 minutes to complete per family. If you have any questions regarding the forms please contact the office during our summer hours (Mon-Thurs, 8:00 a.m. - 4:00 p.m.)

Student's Legal Name: *

Last Name, First Name (i.e. Smith, John)

Grade *

(K, 1, 2, 3, 4...)

Physical Address - Street # and Name *

House #, Street Name, Apt. # (i.e. 1500 School Dr.)

City *

(i.e. Greenville)

State *

(i.e. NC)

Zip Code *

(i.e. 27889)

Mailing Address *

PO Box # or Street # and Name, Apt. #, City, State, Zip

Same as physical address above

Other:

Required

County Where Student Resides *

Beaufort

Craven

Martin

Pitt

Washington

Required

Mother's cell number.

(ie: 999-999-9999)

Father's cell number.

(ie: 999-999-9999)

Stepmother's Name and Cell Number.

(i.e Jane Smith 999-999-9999) Skip to next question if this does not apply to your family.

Stepfather's Name and Cell Number.

(i.e John Smith 999-999-9999) Skip to next question if this does not apply to your family.

List primary parent email address. *

(i.e. ourfamilyemail@family.com)

List additional parent email addresses.

Separate by a semi-colon (i.e. dadsemail@family.com; momsemail@family.com)

Are there any custody issues or court rulings? *

Yes, I will bring current custody papers to place on file with the school office.

Are there any medications your child will need to have administered during the school day? *

Yes - Medical forms must be filled out by the child's doctor and submitted to the school office. Forms are available at the school office.

Has your child suffered from a head injury or concussion within the past year? *

Yes

Does your child have an Exceptional Children's Record? *

This would include any IEP, Speech, LEP or 504 services.

Yes

My family's learning choice for the first 9 weeks of 2020-21 school year is? *

Onsite (K-6th grades) and/or (A/B days 7th-12th grades, includes 2 days onsite and 3 days remote)

Full Remote

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