Dee-Mack Primary & Junior High 2020-2021 Kindergarten Enrollment Form

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Thank you for filling out the following form to enroll your new student as a Kindergartner at Dee-Mack Primary School. The office will contact you as soon as we have more information as to when screenings will take place. Thank you!!

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Sähköposti *

Student First Name *

Student Middle Name *

Student Last Name *

Student Date of Birth *

VVVV

Student Gender *

Female

Male

Parent/Guardian 1 Name *

Parent/Guardian 1 Address *

Parent/Guardian 1 City *

Parent/Guardian 1 Zip Code *

Parent/Guardian 1 Phone Number *

Parent/Guardian 1 Email Address *

Parent/Guardian 2 Name

Parent/Guardian 2 Address (if different than Parent 1)

Parent/Guardian 2 City (if different than Parent 1)

Parent/Guardian 2 Zip Code (if different than Parent 1)

Parent/Guardian 2 Phone Number

Parent/Guardian 2 Email Address

Student Lives with *

Both Parents/Guardians

Parent/Guardian 1

Parent/Guardian 2

Muu:

Does the student have a sibling currently attending Dee-Mack District 701? If yes, please add name(s) and grade(s).

The following documents must be on file in the school office before the first day of school in order for your student to attend, according to Illinois State Law. Please mark the boxes of the items you have prepared to turn in to the school office. (Please turn those items into the office as soon as possible, either by dropping them off or mailing to 102 E, Fifth Street, PO Box 80, Mackinaw 61755.)

Original Birth Certificate (from Courthouse or Health Department)

Kindergarten Physical Exam (must be age 5 at time of appointment)

Recent Immunization records including required Kindergarten immunizations

Dental Exam dated AFTER 01/01/2020

Vision Exam dated AFTER 01/01/2020

Kindergarten Screenings will take place on Wednesday, March 25 and Thursday, March 26. The office will contact you to schedule your screening time. Please mark which times fit best in your schedule.

Wednesday Morning

Wednesday Afternoon

Thursday Morning

Thursday Afternoon

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