Kindergarten Registration Form

It's that time again! Kindergarten registration is just around the corner. However, you won't have to worry about filling out the form on your own. We've created a Kindergarten Registration Form with all the necessary details you'll need to register your child for Kindergarten.

Questions for Kindergarten Registration Form

1.

First Name

The answer should be a text input.
2.

Last Name

The answer should be a text input.
3.

Gender

The answer should be a single choice:
  1. Male
  2. Female
  3. Others
4.

Birth Date

The answer should be a date input.
5.

Home Phone

The answer should be a phone number.
6.

Address

The answer should be a text input.
7.

City

The answer should be a text input.
8.

State

The answer should be a text input.
9.

Country

The answer should be a country.
10.

Zipcode

The answer should be a number input.
11.

Parent/Guardian Information

Name

The answer should be a single choice:
    12.

    Area

    The answer should be a text input.
    13.

    Phone Number

    The answer should be a number input.
    14.

    Work

    The answer should be a text input.
    15.

    E-mail

    The answer should be a email input.
    16.

    Address - Same As Child

    The answer should be a single choice:
    1. Yes
    2. No
    17.

    Would your child like to be in a class with a friend

    The answer should be a single choice:
    1. Yes
    2. No
    18.

    If yes, name and age of friend(s)

    The answer should be a text input.
    19.

    Is your child immunized

    The answer should be a single choice:
    1. Yes
    2. No
    20.

    Does your child have any allergies

    The answer should be a single choice:
    1. Yes
    2. No
    21.

    If yes please list, including any food or drug allergies

    The answer should be a text input.
    22.

    Does your child have any medical conditions

    The answer should be a text input.
    23.

    Does your child require any medication? If yes, please list these medications

    The answer should be a text input.
    24.

    Do you authorize us to administer the medications listed above

    The answer should be a single choice:
    1. Yes
    2. No
    25.

    Please list the people authorized to pick up your child

    The answer should be a text input.
    26.

    Does your child have any siblings

    The answer should be a single choice:
    1. Yes
    2. No
    27.

    If yes, what is their age

    The answer should be a text input.
    28.

    Comments

    The answer should be a text input.
    29.

    Signature

    The answer should be a signature.
    30.

    Signed Date

    The answer should be a date input.

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