School Supply

2022-2023 REGISTRATION

Parent / Guardian Information

First Parent / Guardian
Second Parent / Guardian 
(leave blank if not applicable)
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Student Information
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Will your VPK student be attending on Fridays?
Is there another student?
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Will your VPK student be attending on Fridays?
Is there another student?
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Will your VPK student be attending on Fridays?
Authorized Pick-Up Contacts
(child may be released to this person)
Local Emergency Contact
(when parents cannot be contacted)
Parents / Guardian Notes
If the information on this form needs to be updated, I will notify the school at the earliest convenience.

Thanks for submitting!