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Kindergarten Round Up
For incoming kindergarten students who will be 5 years old by August 31, 2021
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* Indicates required question
Student Last Name
*
Your answer
Student First Name
*
Your answer
Student Date of Birth
MM
/
DD
/
YYYY
Did the student attend pre-school?
*
Yes
No
If so, what pre-school did they attend?
Your answer
Parent/Guardian Last Name
*
Your answer
Parent/Guardian First Name
*
Your answer
Parent/Guardian email address
*
Your answer
Parent/Guardian phone number
*
Your answer
Disclosure - This form does not replace Online Registration that all Coffeyville Public School families need to complete for the 2021-2022 school year
*
I understand in addition to this form I will need to complete Online Registration for my kindergarten student.
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