Items denoted with a red asterisk * are required.
 
 
Kindergarten Round-up
The mailing list for Kindergarten 2010-11 is being developed at this time. If you have a child who will be 5 years of age on or before September 15, 2010 and are planning to send your child to school, please complete the form below.
 * Parent/Guardian's Name
 
First Name
M.
Last Name

First Name / Last Name
 * Address
 
Address 1
Address 2
City
State
Zip Code
 * Phone Number
 
 -  - 
(XXX)-XXX-XXXX
Email Address
 
 * Child's Full Name
 
Child's Social Security Number
 
 * Child's Gender
 
 * Child's Date of Birth
 
Click to View Date Picker
 * Child's Age
 
Additional comments/questions