Request edit access
JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
M.S. 53 Pre-Registration Form
Welcome! We are excited to welcome you to our M.S.53 school community. Please fill out this pre-registration form and someone will contact you to finalize the details.
¡Bienvenidos! Estamos muy contentos de darle la bienvenida a nuestra comunidad escolar M.S.53. Complete este formulario de preinscripción y alguien se comunicará con usted para ultimar los detalles.
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Email
*
Your email
Parent/ Legal Guardian Name (Last, First)
*
Nombre del padre / tutor legal (apellido, nombre)
Your answer
Parent/ Legal Guardian Phone Number
*
Número de teléfono del padre / tutor legal
Your answer
Parent/ Legal Guardian Email Address
*
Correo electrónico del padre / tutor legal
Your answer
Home Address
*
Direccion de casa
Your answer
Student Name (Last, First)
*
Nombre del estudiante (apellido, nombre)
Your answer
OSIS # (9 digit Student ID Number)
*
(If unknown, please type N/A) OSIS # (número de identificación de estudiante de 9 dígitos)
Your answer
Student Grade Level
*
Nivel de grado del estudiante
6
7
8
Student Date of Birth
*
Fecha de nacimiento del estudiante
MM
/
DD
/
YYYY
Does your child have an IEP?
*
¿Su hijo tiene un IEP?
Yes
No
Not sure
Next
Page 1 of 3
Clear form
Never submit passwords through Google Forms.
This form was created inside of Brian Piccolo Middle School 53Q.
Report Abuse
Forms
