Grades 1 to 12 - Upper Moreland New Student Registration Demographic Info Form
The person who is completing this form is the person whose email address that is being collected by this form.
One student per form.
Please answer ALL questions COMPLETELY.
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Email *
Has your child ever attended an Upper Moreland School before? *
Child's First Name *
Child's Middle Name *
If child does not have a middle name - enter the word none
Child's Last Name *
Surname (If applicable) *
Child's date of birth *
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Child's Gender *
Child's Ethnicity *
Hispanic? *
What language is primarily spoken in your home? *
Child's Birth City *
Child's Birth State *
Country of Birth *
If born outside the US, date child entered the US
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Grade *
Name of Student's Former School *
Address of Student's Former School (include city and state) *
Phone Number of Student's Former School *
Grade of Student when Attending their Former School *
Date of Last Day of Attendance in Student's Former School *
Does Student have an active IEP (Individualized Education Program)/Early Intervention Program? *
Please name the Challenge(s) for your child if they have an IEP
Please give any other details (if necessary) for your Special Needs child.
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