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