Registration

Registration

***Student must turn 5 by August 1, 2020
1.     Complete the from which includes Student Information and  Health History 

2.     Take a picture of your child’s Birth Certificate, and Shot Record and email it to rhkindergartenregistration@rockhill.org.

***If your child attended RH Preschool last year we do not need a copy of  Birth Certificate or shot record unless they have recently gotten new shots.

Question Title

* 1. Last Name

Question Title

* 2. NAME SUFFIX (e.g. Jr., I, II, III)

Question Title

* 3. First Name

Question Title

* 4. Middle Name

Question Title

* 5. Address

Question Title

* 6. Parent/ Guardian Name

Question Title

* 7. Relation to Student

Question Title

* 8. Mothers's Maiden Name

Question Title

* 9. Sex

Question Title

* 10. Ethnic Code

Question Title

* 11. Native Language

Question Title

* 12. Birthdate

Date

Question Title

* 13. Birthplace

Question Title

* 14. Social Security Number

Question Title

* 15. Do you live in the Rock Hill Local School District

Question Title

* 16. Are you the legal guardian of the student

Question Title

* 17. Does your child have an IEP

Question Title

* 18. Does your child have a 504

Question Title

* 19. Student Health Conditions

Question Title

* 20. Please explain and conditions above or any reason for hospitalization

Question Title

* 21. Please indicate any allergies your child might have including reactions along with restrictions or recommended actions

Question Title

* 22. Please list any medication that your child takes on a regular basis, please identify the medication, time and reason.

Question Title

* 23. Do any health and/or medical conditions require school restrictions, modifications, and/or intervention?

Question Title

* 24. Does the student require any special procedures and/or treatments for their health condition

Question Title

* 25. Please indicate any other information about your child's health or development that you think would be helpful for the school to know:

Question Title

* 26. Form Complete By

Question Title

* 27. Relationship to the Student

Question Title

* 28. Today's date

Date

T