Kindergarten Registration SurveyKindergarten Registration Survey

Welcome to the Burlington School District! We want to find out more children age 5 and under who will be entering our schools in the future. Please fill out this survey to help us plan. We look forward to seeing you at school!

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1. Please tell us how to reach you. ( * required )

Please tell us how to reach you. ( * required ) Name *
Address *
Address 2:
City/Town *
State *
ZIP:
Country:
Email Address:
Phone Number *

*

2. Please tell us the name and birthday (month, day and year) of your children who are not yet enrolled in kindergarten.

Please tell us the name and birthday (month, day and year) of your children who are not yet enrolled in kindergarten. Name of Child/Date of Birth
Name of Child/Date of Birth
Name of Child/Date of Birth
Name of Child/Date of Birth
Name of Child/Date of Birth

3. Please tell us which school you live closest to:

Please tell us which school you live closest to: Champlain Elementary (Pine Street)

Edmunds Elementary (Main Street)

Integrated Arts Academy (Archibald Street)

Sustainability Academy (North Street)

Flynn Elementary (North Avenue)

CP Smith Elementary (Ethan Allen Parkway)

Thank you for completing this survey. You can find out more information about all of our schools at http://www.bsdvt.org. If you have a child ready to be enrolled for 2011-2012, be sure to register your before March 17! Forms are available at each local school, the district office, and on our website at www.bsdvt.org.

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Kindergarten Registration Survey
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