Tuesday, March 21, 2006

Please call the neighborhood school to pre-register

Please bring the following with you to round-up:

• Child's birth certificate or a copy of it.
• Child's social security number.
• Child's immunization record.

If you have a child who will be 5 years of age on or before September 15, 2006, please fill out the form below and return it to the office of the elementary building in your attendance area or the Mason City Community School District Administration Building at 1515 S. Pennsylvania Ave. or contact us at 421-4400. If you know of someone who has a child please pass this information along.  Thank you.

KINGDERGARTEN ENROLLMENT 

Student Information

Name _______________________________________________ Sex ___  Age ___

          (Last)             (First)         (Middle)

Child’s Social Security Number ______________________

Birthday ________________________

Parent/Guardian Name ___________________________________

Address ____________________________________________

Telephone Number _________________________