2018-2019 Online Kindergarten Registration
* Required
Student's Last Name
*
Your answer
Student's First Name
*
Your answer
Student's Middle Name
Your answer
Student's Date of Birth
*
Date
Parent / Legal Guardian Name - 1
*
Your answer
Parent / Legal Guardian Name - 2
Your answer
House / Building Number
*
Your answer
Street Name
*
Your answer
Apartment Number
Your answer
Town/City
*
Your answer
State
*
Your answer
Zip Code
*
Your answer
Name of Siblings in District - if none, please comment NONE
*
Your answer
Preferred Phone Number - 1
*
Your answer
Preferred Phone Number - 2
Your answer
Email Address - 1
*
Your answer
Email Address - 2
Your answer
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