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Kinder Round Up
This form is used to gain information on students planning to attend Kindergarten at Harrison Elementary for the 2020-2021 school year.
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* Indicates required question
Student's legal name (First, Middle, Last)
*
Your answer
Student's physical address
*
Your answer
Student's mailing address
*
Your answer
Student's date of birth
*
MM
/
DD
/
YYYY
Primary contact's name, phone, email and relationship to student
*
Your answer
Secondary contact's name, phone, email and relationship to student
*
Your answer
Non-Custodial Parent Name and Address
Your answer
Non-custodial parental rights (please check the box to indicate "yes")- we will need legal documentation of custody agreements if a parent is not to have contact, cannot visit at school, cannot pick up student, etc.
Does the non-custodial parent have legal rights to contact the child at school?
Can the non-custodial parent be used as an additional emergency contact?
Has your child ever attended South Lane School District (ex. Preschool Promise)?
*
Yes
No
Unsure
What is the primary language spoken in the child's home?
*
Your answer
Does your child receive special services?
Special Education
TAG
504 plan
Behavior Assistance
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