header

A child who is five (5) years old on or before September 1, 2012 and lives within Indian Springs School District 109 boundaries can attend school in the 2012-2013 school year.


Help us plan for our new kindergartners. The child’s parent/guardian completes this form and returns it to the nearest District 109 school as soon as possible. A link to this form can also be found on the main page of our website: www.isd109.org 


Thank you in advance for your help.

 

Child’s Name: 

Birthdate: 

Parent/Guardian Name: 

Address:

Phone:

Is another language spoken in the home? (Check if yes)