Glen Rose Kindergarten Registration

Glen Rose Kindergarten Registration

2024-2025 School year
Student must turn 5 years old on or before August 1, to enroll in Kindergarten
Required Documents

These Documents need to be hand delivered to the Kindergarten on April 2 or April 18, in order to finalize registration:

1) Copy of Birth Certificate

2) Copy of Social Security Card

3) Shot Records

4) Proof of residency (which may include a gas, electric, or water utility bill OR rent receipt with address and current date OR lease agreement with a current date)

5) Physical Health Assessment
Please Choose the Date that You will be visiting the Kindergarten to deliver the required documents.*

April 2, 2024 (between 7:30am-3:00pm)April 18, 2024 (between 7:30am-3:00pm)
Student Name*

Last NameMiddle NameFirst NameSuffix
Grade*
Gender*
Social Security #*
Date of Birth*

MonthDayYear
Date
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Is this student a twin (or triplet, quadruplet, etc.)?*
Hispanic or Latino Ethnicity?*
Primary Race (check all that apply)*

WhiteAsianBlackHispanicNative AmericanHawaiian/Pacific Islander
Previous School Attended
City and State of School
Legal Guardian of Child*

Both ParentsMother OnlyFather OnlyOther
Primary Phone Number for ALERT NOW (District's automated phone message system)*

Area CodePhone Number
Mother/Guardian

First NameLast Name
Mother/Guardian Workplace
Email*
example@example.com
Phone Number

Area CodePhone Number
Work Number

Area CodePhone Number
Father/Guardian

First NameLast Name
Father/Guardian Workplace
Phone Number

Area CodePhone Number
Work Number

Area CodePhone Number
Step Parent's Name (if living in household)

First NameLast Name
Phone Number

Area CodePhone Number
Is guardian currently serving in the active or reserve military?*

YesNoOther
Is any member employed as a migrant worker?*

YesNo
How Many persons are in household?*
Please list siblings that attend Glen Rose and list grade level
Medical Information
Does your child have any physical/mental impairments that substantially limits a major life activity?*
If Yes, please list the impairment (this will initiate the process to identify students who should be covered under section 504)
In case of emergency, please list three names of people to be contacted other than parent/guardian
Name*

First NameLast Name
Phone Number*

Area CodePhone Number
Name*

First NameLast Name
Phone Number*

Area CodePhone Number
Name*

First NameLast Name
Phone Number*

Area CodePhone Number
List any medical problems and/or allergies
List any medications presently taking
Language Information
What language is spoken in your home most of the time?*
What language does the student speak most of the time?*
What language do parents speak to the students most of the time?*
Housing Information
Are you sharing housing of other persons due to loss of housing, economic hardship, or similar reason*
Housing Arrangements*

ApartmentHouseCarCamperBusFamily ShelterYouth ShelterPark/CampsiteOther
How long have you lived at the above location?*
Living with*

father and step-mothermother and step-fatherboth parentsfather onlymother onlyfoster parentslegal guardiangrandparentshomelessOther
Transportation Information
How will your student be transported to and from school?*

carbus
Directions to home (from school)*
How many miles from school*
What county do you live in?*
Home Internet Information
Internet Type*

Cellular NetworkCommunity Provided Wi-FiDial-upHot SpotNoneOther
Device Access Source*

District ProvidedOtherPersonal
Learning Device*

ChromebookDesktop ComputerLaptop ComputerNoneOtherSmartphoneTablet
Internet Access Barrier*

Not AffordableNot AvailableOtherN/A
Internet Performance*

No (unable to access internet)Sometimes (regularly experience internet interruptions)Yes (few or no internet interruptions)
Should be Empty:

Glen Rose Kindergarten Registration

Medical Information

Language Information

Housing Information

Transportation Information

Home Internet Information