Kindergarten Registration Form

ITAWAMBA COUNTY SCHOOL DISTRICT KINDERGARTEN REGISTRATION

We are excited that you are making plans for your child to enter kindergarten in the Itawamba County School District during the 2020-2021 school year!!

This is an exciting time in the life of your child.

In order to help us plan for the upcoming school year we are starting pre-registration for kindergarten. A student must be 5 on or before

September 1 in order to be eligible for kindergarten. In addition, before the start of school, you will need to provide the following to the school:

• Completed Immunization Form (Must be marked for school)

• Social Security Card-- No copies

• Certified Birth Certificate-- No copies

• 2 proofs of residency

  1. Filed Homestead Exemption Application Form

  2. Mortgage Documents of Property Deed (c ) Apartment or Home Lease

4. Utility Bills

5. Driver’s License

6. Voter Precinct Identification

7. Automobile Registration

8. Affidavit of Residency

• Legal Guardians must provide copy of court order

• 2 Emergency contacts other than parent or guardian

Please do not attempt to bring paperwork to schools at this time. You will be

t old when to bring paperwork.

Name of Child:                                                                                                                                                   

Child DOB:                                               

ICSD School your child will attend:              

Parent/Guardian:                                                                                                                                               

Phone Number:                                                                                                                                                      

Who does the child live with?

  Mother

  Father

  Both Parents

  Grandparents

  Other (Please explain: )

Ethnicity of the Child:

  Black

  Hispanic

  American Indian

  White

  Other: ( )

We look forward to your child attending school in the fall. Please know that you will be instructed when to turn paperwork in. Again, do not attempt to bring to school at this time. You will complete this form and email it to the school administrator of your child’s intended school. Please choose from options below