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!

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

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

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

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.