PRE-Registration Kindergarten Shellsburg Elementary 2021-2022 School Year

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YOUR CHILD MUST BE 5 YEARS OLD ON OR BEFORE SEPTEMBER 15, 2021 TO ATTEND KINDERGARTEN.

Pre-registration is used for upcoming enrollment purposes. There will be an official REGISTRATION process that must be completed during district registration in July.

Child's First Name (must use legal name) *

Child's Middle Name (must use legal name) *

Child's Last Name (must use legal name) *

Date of Birth (xx/xx/xxxx) *

Child must be 5 yeras old on or before Sept. 15, 2021 to attend kindergarten.

Parent/Guardian First Name *

Parent/Guardian Last Name *

Phone Number (xxx-xxx-xxxx) *

Street Address *

City *

State *

Zip code *

Email Address *

What is your child's gender *

Male

Female

Is your child Hispanic or Latino? *

The Iowa Department of Education requires all school to collect ethnicity information on students.

Yes

Required

What is your child's race? *

Please choose any/all answers that apply.

White

Black or African American

Asian

American Indian or Alaskan Native

Native Hawaiian/Other Pac Islander

Does your child currently attend a preschool? *

Yes

Required

If your child does attend preschool, please provide name of preschool.

Questions or comments?

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