Wakefield Public Schools Incoming Registration Form

Student First Name *

Student MIddle Name (If the child does not have a middle name, please enter NMN) *

Student Last Name *

Address - Full Address, include Apartment/Unit # if Applicable *

City *

State/Province *

Zip/Postal Code *

Date of Birth? * +

City of Birth? *

Is the student Hispanic or Latino? *

Yes

No

What is the studen't race? (Check all that Apply) *

Did your Child attend a Pre-School? *

Yes

No

If they did attend a pre-school Program, what was the name of the program?

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If you are unsure of the School District that you should enter below. Click on the below link to search your address.

School District Lookup

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School? (NOTE: This does not guarantee placement in this school.) *

Guardian #1

First Name *

Last Name *

Relationship to child? *

Address - Full Address, include Apartment/Unit # if Applicable *

City *

State/Province *

Zip/Postal Code *

Phone *

Type of Phone? *

Email Address *

Preferred way to contact *

Phone

Email

Any

Guardian #2

First Name

Last Name

Relationship to child?

Address - Full Address, include Apartment/Unit # if Applicable

City

State/Province

Zip/Postal Code

Phone

Type of Phone?

Email Address

Preferred way to contact

Phone

Email

Any