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FORM

LEVITTOWN
PUBLIC SCHOOLS

Kindergarten Package Request
School Year

The Kindergarten Package Request form is currently unavailable. Please check back after October 15th.

Children MUST be born on or before
December 1,

Please fill out this form entirely to assure accurate processing.

* required fields.

Child Information
First Name*

Last Name*

Gender*

Date Of Birth*

Phone Number*

Does Your Child Receive Special Services?*

Does Your Child Attend Pre-School?*

Address 1*

Address 2

City*

State*

ZIP*

Mother's Information
First Name*

Last Name*

Cell Number*

EMail Address*

Father's Information
First Name*

Last Name*

Cell Number*

EMail Address*

How would you like the package sent to you?*



Got questions? Please call Arlene Mege, (516) 434-7058 or by e-mail at amege@levittownschools.com. Registration packages go out the beginning of January. In that package will be a date and time to come and register at Levittown Memorial. If you cannot make that date, please call to reschedule.