Census - ECFE-Early Childhood Family Education

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Census Form: Register to Receive Important School Information

Please fill out the census form so we can make sure your family information is up-to-date. This will ensure that you receive important information regarding early childhood programming including Early Childhood Screening, Early Childhood Family Education (ECFE), Kingsland Preschool, School Aged Child Care (SACC) and Kindergarten registration.


Parent First Name(s):	*

Parent Last Name(s):	*

Address:	*

City:	*

State:	*

Zip:	*

Phone:	*

Email:	*

Additional Parent Name (if applicable):

Additional Address (if applicable):

Child First Name	*

Child's Middle Name	*

Child's Last Name	*

Child's Date of Birth	*

Child's Gender	*

Additional children ages 0-5 living in your home:

Child's First, Middle and Last Name/Date of Birth/Gender

Child's First, Middle and Last Name/Date of Birth/Gender

Child's First, Middle and Last Name/Date of Birth/Gender

	School District we plan to send our child(ren) to:
		Kingsland
		Other
		Unsure

Send a copy of the completed form to this email address :

* Indicates Required fields.