KINDERGARTEN CHILD COUNT FORM

For Students planning to enter Northeast or Northwest Primary Schools for the 2019-2020 school year:

Students must be five (5) years of age on or before September 1, 2019.

This form may be returned to either of the above schools or The Longfellow Administration Building, 6 Church Street by February 25, 2019.

You may also call Northwest Primary School, 773-1946 ext. 1776, or Northeast Primary School, 773-1940 ext. 1719 and give the following information over the phone.

Child _________________________________________   Date of Birth __________________

Parent Name __________________________________________________________________

Address______________________________________________________________________

Phone – Home ______________________________Work ______________________________

Birth Certificate and Immunization Record will need to be presented at the time of screening.  YOU WILL BE NOTIFIED OF THE DATE OF SCREENING IN THE SPRING.

Rutland Public Schools must have this information by February 25, 2019, for budget planning purposes.

Please notify any friends or family members, with eligible children, of this registration event.

PRINT FORM HERE