New Student Kindergarten and TK Registration

Student's First and Last Name *

Student's Date of Birth *

Student's Home Address *

Do you know your kindergarten boundary school? *

Yes

No

What is your boundary school? *

Has your student attended preschool in Sioux City? *

Yes

No

What preschool did/does your student attend? *

Do you have other students in the school district? *

Yes

No

What schools do your other students attend? *

Parent/Guardian Name *

Parent/Guardian Phone Number *

Parent/Guardian Email Address *

Parent/Guardian Mailing Address *

Parent/Guardian Name

Parent/Guardian Phone Number

Parent/Guardian Email Address

Parent/Guardian Mailing Address (Only if different from first parent/guardian)

NON-DISCRIMINATION STATEMENT:

The Sioux City Community School District offers career and technical programs in the following areas: Business & Marketing, Family & Consumer Science, Health Science, and Industrial Arts, Technology, & PLTW.

The Sioux City Community School District is an equal opportunity/affirmative action employer and does not discriminate on the basis of race, creed, color, sex, sexual orientation, gender identity, genetic information (for employment), national origin, religion, age (for employment), disability, socioeconomic status (for programs), marital status (for programs), or veteran status (for employment) in its educational programs and its employment practices. The District is required by Title IX and 34 CFR Part 106 not to discriminate on the basis of sex in its programs, activities, or employment.

Inquiries or grievances under Section 504 and Title II of the Americans with Disabilities Act may be directed to Dr. Dora Jung, Director of Student Services & Equity Education/Title IX Coordinator at 627 4th Street, Sioux City, IA 51101, (712) 279-6075, jungd@live.siouxcityschools.com. Inquiries about the application of Title IX and its regulations to the District may be referred to the Title IX Coordinator, the Assistant Secretary of the U.S. Department of Education, or both. Please see District Board policies 103 and 504.4 for additional information on available grievance procedures.