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Lakewood 2022-23 Kindergarten Pre-Registration Form
This form is a pre-registration form for students who will be attending Kindergarten at Lakewood in August 2022. More information will be coming soon! Questions? Please call 913-239-6500!
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* Indicates required question
CHILD's Last Name
*
Your answer
CHILD'S First Name
*
Your answer
Gender
*
Male
Female
Child's Date of Birth- Must be 5 by September 1, 2022
*
MM
/
DD
/
YYYY
Home Street Address
*
Your answer
City
*
Your answer
Zip
*
Your answer
Subdivision:
*
Your answer
PARENT E-Mail Address:
*
Your answer
PARENT 1 Name: Last, First
*
Your answer
PARENT 1 Phone Number:
Your answer
Parent 1 Address (if different than student from above)
Your answer
Parent 2 Name: Last, First
Your answer
Parent 2 Phone Number
Your answer
Parent 2 (if different from above)
Your answer
Name of Preschool Attended (if attended)
Your answer
Primary Language:
*
Your answer
Siblings (Name, Age)
Your answer
Any additional information? (medical concerns, academic concerns, support provided in preschool, etc)
Your answer
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