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New Resident Family Census Form

Two girls holding hands

Required

Parent/Guardian #1required
First Name
Last Name
Date of Birth
Must contain a date in M/D/YYYY format
Email Address
Phone

 

Parent/Guardian #2
First Name
Last Name
Date of Birth
Must contain a date in M/D/YYYY format
Email Address
Phone

 

Street Addressrequired
Cityrequired
Staterequired
Zip coderequired
Apt

Please list all children, birth to Grade 12, below.

Child #1required
First Name
Middle (optional)
Last Name
Genderrequired
Date of Birthrequired
Must contain a date in M/D/YYYY format
Child #2
First Name
Middle
Last Name
Gender
Date of Birth
Must contain a date in M/D/YYYY format
Child #3
First Name
Middle
Last Name
Gender
Date of Birth
Must contain a date in M/D/YYYY format
Please list additional children below, including name, gender, and date of birth