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2022-2023 Kindergarten Census Form
Use this form to provide the Plainview-Old Bethpage CSD with current contact information for the purpose of enrolling a student for kindergarten in the upcoming school year.
(1 student per form, please)
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* Indicates required question
Email
*
Your email
Parent/Guardian Last Name:
*
Your answer
Parent/Guardian First Name:
*
Your answer
Street Address:
*
Your answer
City:
*
Your answer
Zip Code:
*
Your answer
Phone Number:
*
Your answer
Last name of new kindergarten student:
*
Your answer
First name of new kindergarten student:
*
Your answer
Date of birth of new kindergarten student:
*
MM
/
DD
/
YYYY
Gender of new kindergarten student:
*
Male
Female
Nonbinary
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This form was created inside of Plainview-Old Bethpage Central School District.
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