Kindergarten Student Information Form
Kindergarten Student Information Form
Please complete this form with accurate and up-to-date information about your child.
Student Information
Name
Date of Birth
Gender
-
Male
-
Female
Parent/Guardian Information
Name
Relationship to Student
Phone number
Address
Emergency Contact Information
Name
Relationship to Student
Phone number
Health Information
Does your child have any allergies?
If yes, please list
Does your child take any medication?
If yes, please specify
Additional Information
Languages spoken at home
Anything else we should know about your child?
By signing below, I certify that the information provided is accurate.
Parent/Guardian Name:
Date:
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