EISD Kindergarten Registration Form
Dear Parents and Guardians,
Please complete the following information to enroll your child in Kindergarten for the 2020-2021 school year.  You will need to be able to upload the following documents:  
*A copy of your child's birth certificate
*A copy of your child's current shot record
*A copy of the parent/guardian drivers license
*Proof of Residency- A copy of an utility bill which shows your physical address (No PO boxes)
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Student's Legal Name:  (first, middle, last) *
Date of Birth:  (The student must be 5 years old as of September 1st of the calendar year to be enrolled in Kindergarten) *
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Current Age: *
Social Security Number: *
Gender: *
Ethnicity: *
Date Moved to District: *
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Last School or Daycare Attended:
Physical Address:   (Enter street, city, state, zip code- No PO boxes in this field) *
Mailing Address:   (Enter street, city, state, zip code) *
Mode of Transportation to school: *
Mode of Transportation after school:  (to go home) *
Parent/Guardian Name:  (first, middle, last) *
Parent/Guardian relationship to student: *
Parent/Guardian Address:  (street, city, state, zip code) *
Parent/Guardian Phone Number: *
Parent/Guardian Phone Number:  (Alternate) *
Parent/Guardian Employer Name: *
Parent/Guardian Employer Phone Number: *
Emergency Contact #1  (First name, Last Name) *
Emergency Contact #1  Relationship: *
Emergency Contact #1  Phone Number: *
Emergency Contact #2  (First name, Last Name) *
Emergency Contact #2  Relationship: *
Emergency Contact #2  Phone Number: *
Emergency Contact #3  (First name, Last Name)
Emergency Contact #3  Relationship:
Emergency Contact #3  Phone Number:
Sibling Information:  Enter Name(s) (first name, last name), Age, and Campus in which the sibling is enrolled below:
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