JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
2020-21 Kindergarten/Young Fives Interest Form
Please submit one form for each child who will be attending either Young Fives or Kindergarten in the 2020-21 school year.
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Email
*
Your email
Student's Name (Last, First, Middle)
*
Your answer
Student's Date of Birth
*
MM
/
DD
/
YYYY
Street Address
*
Your answer
City, State, Zip Code
*
Your answer
Parent/Guardian Name (Last, First, Middle)
*
Your answer
Parent/Guardian Phone Number
*
Your answer
School of Residence
*
Belle River Elementary School
Gearing Elementary School
Palms Elementary School
Pine River Elementary School
School of Choice (residence outside of ECSD - applying for out-of-district school of choice)
In-District School of Choice (select one of the schools below if you are requesting your child to attend that school rather than your home school listed above)
Belle River Elementary School
Gearing Elementary School
Palms Elementary School
Pine River Elementary School
Clear selection
Are you interested in having your child participate in the Young Fives program (in order to participate child must turn five years old between July 1 and December 1, 2020)?
Yes
No
Maybe
Clear selection
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of East China School District.
Report Abuse
Forms
