Welcome to 2022-2023 Kindergarten Pre-Registration!
Please complete the following information for your Kindergarten student. If you are pre-registering more than one student, you must complete a separate form for each. Your student's birthdate must be on or prior to August 1, 2017 (8/1/2017) to be eligible for Kindergarten in ACSD #1.


Student Information
Legal Name from Birth Certificate
**Legal Name: **First: Middle: **Last:
**Date of Birth: mm/dd/yyyy
**Gender:
Preferred First Name:
**School:
**Previous School:
Enter NONE in all three boxes
if Kindergarten student
School Name:
City:
State:
**Grade Level:
**Anticipated Start Date:
Current Special Programs IEP 504 ELL Speech Therapy Gifted and Talented
**Is the student Hispanic or Latino?
**What is the student's race?
Kindergarten Kick Start Program Please check the box if you are interested in Kindergarten Kick Start Program.
Parent/Guardian Information
**First Name: **Last Name:
**Relationship to Student:
Other Students in Family: Check this box if other members of your family are active students at our schools
**Desired User Name: Desired User Name for PowerSchool Login
**Email:
**Phone: 999-999-9999      Alternate Phone: 999-999-9999
**Street:
**City:
**State:
**Zip Code:
**Verification: I verify that the above information is correct
** Required Information