Hemlock Creek 5K-4th Grade Online Pre-Registration (2026-27 School Year)

Student's Birth Certificate Information

Information must match the child's birth certificate or other legal document that must be provided to the school.
Student birth information (must match their birth certificate): *

Street Address

Street Address Line 2

CityState

CountyCountry
If your student was born outside of the US, what is the date of their first enrollment in a U.S. school?

MonthDayYear
*This information is solely used to apply for additional funding for potential services that may be needed.
Student's Gender (must match their birth certificate):*
Is this student (choose one or more. You must select at least one):*
Was this a multiple birth?:*

YesNo
Mother or legal guardian's name (from birth certificate or other legal document):*

First NameMiddle NameLast Name
Father or legal guardian's name (from birth certificate or other legal document):*

First NameMiddle NameLast Name
Birth certificate or court order document #:*
*Listed in the upper right corner of the certificate.

Access ID Information

*If you answer "yes" to either of the following questions, you should have an existing PowerSchool account. If you do not remember your account information, please let someone in the office know and we will assist you.
Do you have any students currently enrolled/attending a school or program in West De Pere?*

YesNo
If yes, please list your student's name & grade:

Student 1 : First & last nameGrade
If you have another student attending WDP, please list that student's name & grade:

Student 2 : First & last nameGrade
If you have another student attending WDP, please list that student's name & grade:

Student 3 : First & last nameGrade
If you have another student attending WDP, please list that student's name & grade:

Student 4 : First & last nameGrade
Have you previously enrolled a student (who is not a current student) in a school program in West De Pere (prior to the 26-27 school year)?:*

YesNo
If you answered yes, please list your student's name:

First & last nameGrade
*If you answered "no" to both of the previous questions, please enter your preferred username for your PowerSchool account:
Do you need an additional PowerSchool account created for another parent/guardian?:

YesNo
If you do need an additional PowerSchool account created, who is the account for?:

First & last namePreferred username of second account

Previous School Information

We will use this information to request your student's records from the school they are transferring from (if they previously attended a school).
Did your student attend a school prior to the 2026-27 school year?:*

YesNo, Hemlock Creek will be the first school my student will attendMy child was homeschooled through the DPI
What is the name of the school your student(s) is transferring from?:*
What is the fax number of your student(s)'s previous school?:
Previous School Location:*

Street Address

Street Address Line 2

City of former schoolState of former school

Postal / Zip Code

Child/Children Information - please add all family members between the ages of 0-20 (that reside in the household). Please list the information that would be for the 2026-27 school year.

*You do not need to add the student who you are currently completing the pre-registration forms for.
How many additional family members between the ages of 0-20 are residing in the household? (do not count the student you are currently pre-registering)*

123456+
Child 1 first name: *
Child 1 last name: *
Child 1 DOB: *

MonthDayYear
Date
Child 1 gender (male or female):*
What grade will child 1 be in?: (for the 2026-27 school year)*
What school will child 1 be attending?: (for the 2026-27 school year)
Child 1 ethnic group: (you must pick one or more)*
Please list any handicapping impairment you are aware of for child 1:
Child 2 first name: *
Child 2 last name: *
Child 2 DOB: *

MonthDayYear
Date
Child 2 gender (male or female):*
What grade will child 2 be in?: (for the 2026-27 school year)*
What school will child 2 be attending?: (for the 2026-27 school year)
Child 2 ethnic group: (you must pick one or more)*
Please list any handicapping impairment you are aware of for child 2:
Child 3 first name: *
Child 3 last name: *
Child 3 DOB: *

MonthDayYear
Date
Child 3 gender (male or female)*
What grade will child 3 be in?: (for the 2026-27 school year)*
What school will child 3 be attending?: (for the 2026-27 school year)
Child 3 ethnic group: (you must pick one or more)*
Please list any handicapping impairment you are aware of for child 3:
Child 4 first name: *
Child 4 last name: *
Child 4 DOB:*

MonthDayYear
Date
Child 4 gender (male or female)*
What grade will child 4 be in?: (for the 2026-27 school year)*
What school will child 4 be attending?: (for the 2026-27 school year)
Child 4 ethnic group: (you must pick one or more)*
Please list any handicapping impairment you are aware of for child 4:
Child 5 first name: *
Child 5 last name: *
Child 5 DOB:*

MonthDayYear
Date
Child 5 gender (male or female)*
What grade will child 5 be in?: (for the 2026-27 school year)*
What school will child 5 be attending?: (for the 2026-27 school year)
Child 5 ethnic group: (you must pick one or more)*
Please list any handicapping impairment you are aware of for child 5:
Please list any other additional family members between the ages of 0-20 are residing in the household? (first & last name, gender, DOB, grade, school, ethnic group, and handicapping impairment)*
Do not include any students your previously listed above.

Completion signature:
Name of parent/guardian completing the registration:*
Date of completion:*

MonthDayYear
Date
Should be Empty:

Student Information

Student's Birth Certificate Information

Parent/Guardian Information

EMERGENCY CONTACTS

Access ID Information

Previous School Information

Census Information

Child/Children Information - please add all family members between the ages of 0-20 (that reside in the household). Please list the information that would be for the 2026-27 school year.

Completion signature: