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Birth to 4 Year-Old Child Census
Please complete this form for any child that lives within the Rice Lake Area School District boundaries that is four years old or younger and not yet attending school in the Rice Lake Area School District.
This information allows us to include you in our mailings for Littlest Learners Information and 4K enrollment.
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* Indicates required question
Child's Full Legal Name (First, Middle, Last)
*
Your answer
Date of Birth (Month, Day, Year)
*
(Note - Make sure to enter the correct year)
MM
/
DD
/
YYYY
Gender
*
Choose
Male
Female
Race (choose one or more)
*
American Indian or Alaskan Native
Asian
Black or African American
Native Hawaiian or Other Pacific Islander
White
Required
Language
*
English
Spanish
Other:
Is your child Hispanic or Latino?
*
Yes
No
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