2008-2009 REGISTRATION FORM FOR KINDERGARTEN/FIRST GRADE
MIFFLIN COUNTY SCHOOL DISTRICT

Dear Parent:

The Mifflin County School District is conducting a survey to determine those children within the School District who will be eligible for enrollment in a kindergarten or first grade class for the 2008-2009 school year.

Information gathered from the survey will enable the District to properly plan for its new enrollees and will provide an opportunity for school officials to communicate directly with parents and guardians concerning enrollment requirements.

Proper enrollment for school includes a physical examination and verification of birth date and proper immunization. Once enrolled, a preschool kindergarten assessment to determine learning potential is administered to each child prior to the beginning of school. While this assessment has no bearing on eligibility for enrollment, it does aid the school in structuring meaningful and appropriate educational programs for new students. Once your child is registered you will receive more information about the assessment program.

If you have a child who is eligible for enrollment in school for the 2008-2009 school term, please complete the form below and return it to your child's school by Friday, February 15, 2008. If you have a friend or a neighbor who has a child eligible for school for the 2008-2009 school term, but did not receive a survey form, one may be obtained from any of the following locations:
  

         

ARMAGH & EAST DERRY ELEMENTARY SCHOOLS – Dr. Linda S. Mohler --- 543-5615
HIGHLAND PARK & UNION ELEMENTARY SCHOOLS - Dr. Joseph P. Maginnis --- 248-0145
LEWISTOWN ELEMENTARY SCHOOL - Mr. Steven J. Schaaf --- 242-5823
BUCHANAN & BROWN ELEMENTARY SCHOOLS - Mr. Michael H. Lamarca --- 248-0179
STRODES MILLS ELEMENTARY SCHOOL - Mr. Terry Styers --- 248-5488
ADMINISTRATION BUILDING - Dr. John J. Czerniakowski, Assistant Superintendent --- 248-0148
 

FOR KINDERGARTEN:    A child must be 5 years of age on or before September 1, 2008. (There are no exceptions or provisions made for early entrance into kindergarten.)
 
FOR FIRST GRADE: A child must be 6 years of age on or before September 1, 2008. (There are no exceptions or provisions made for early entrance into first grade.) Children who completed kindergarten in the Mifflin County School District during the 2007-2008 school year are not required to register for first grade.
 

~~~~~~~~~~~~~~~~~~~~DETACH AND RETURN BY FRIDAY, FEBRUARY 15, 2008~~~~~~~~~~~~~~~~~~~~~~~~~~
 

CIRCLE THE GRADE YOUR CHILD WILL BE ENTERING FOR THE 2008-2009 SCHOOL TERM

          Kindergarten    or    First
 
          SEX:   Male    or    Female
 
 

Child’s Name_____________________________________________________________           Birth Date___________________________
                               Last                    First                      Middle                                                                                    Month / Date / Year

Child’s Social Security Number ______________-___________-_____________

Address _________________________________________________________________________     Home Phone _________________
                                Street / Box No.                                                City

Father's Name ____________________________________________________________________      Home Phone _________________
                                              Last                                        First                                             Middle

Mother's Name ____________________________________________________________________     Home Phone__________________
                                              Last                                        First                                             Middle

Guardian's Name __________________________________________________________________      Home Phone__________________
(if applicable)                        Last                                        First                                             Middle

Name of a local friend or relative to contact if parents are not available.

_____________________________________________________________________________________________________________
         Name                                     Address                                        Telephone                               Relationship

 
Following receipt of the information requested, your child will be scheduled for a physical examination by the school physician at the school. If you prefer your family physician to complete the physical examination, a form for this will be provided. Please indicate your preference below. A physical examination must be completed within one year of the beginning of the 2008-2009 school year according to state law.
  

Check One:

(   )  FAMILY PHYSICIAN (at parent’s expense)
 
(   )  SCHOOL PHYSICIAN (School physical exam is free. School nurse will schedule the time.)