Kindergarten Round-up

2008/09

December 1, 2007                                                                                

Dear Parent(s)/Guardian(s):

We are currently in the process of compiling a list of the kindergarten class of 2008-09.  If you have a child who will be five years old on or before September 1, 2008, please complete and return the form below by January 7th and we

will add your child’s name to the mailing list for Kindergarten Round-up which will be held Wednesday, March 26^th.  You will receive your invitation with more specific information, including the registration packet, in late February.

If you have a neighbor who has a child who will meet the kindergarten age parameters, please ask them to contact our office (420-6385) so they can be included in our Round-up mailing.  We appreciate your help in making these contacts.

Sincerely,

Michael Scorzo

MS/ko

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KINDERGARTEN ROUND-UP

Please return to Steeple Run by January 7th

Child____________________________________________________________________________________

                        (Last Name)                                                (First Name)                                           (Middle Name)

Date of Birth _______-________-_______     S.S.#_______________________           Gender:     M        F                                                                                                                                                                      (Please Circle)          

Student’s First Language: _________________________________       Ethnicity: (Please circle all appropriate)

                                                (Please indicate dialect: ie: Mandarin)                      1 - American Indian or Alaskan Native

                                                                                                                                                      2 - Asian or Pacific Islander

Language Spoken in the Home: _____________________________              3 - Hispanic

                                                                                                                        4 - Black, not of Hispanic Origin

                                                                                                                                        5 - White, not of Hispanic Origin

Father’s Name ____________________________________________________________________________

                                                  (Last Name)                                                                (First Name)

Mother’s Name ___________________________________________________________________________

                                                  (Last Name)                                                                (First Name)                                             

Child resides at____________________________________________________________________________                                         Street Address                                                     City                                                   Zip Code

Home phone: (     ) _________________Dad Work # (___)____________  Mom Work # (____)____________

                                                                 Dad Cell #   (___)_____________ Mom Cell #   (____)____________ 

Special Needs/After School Day Care:  _________________________________________________________

Do you have another child currently enrolled at Steeple Run?   Yes____ No____ Grade(s)____

For Office Use Only:    Dwelling # ____________________         Family # _____________________     ID# _________________

                                       Grid Code  ____________________