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- Has your student ever attended HCCSC in a previous school year?*
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- Date student will start at HCCSC (First Day of 26-27 school year is Aug. 5th, 2026)*
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- Date of Birth*
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- Hispanic (choose one)
- Ethnicity of Student*
- Multiracial: Please select which races (Two or more):*
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Format: (000) 000-0000.
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Format: (000) 000-0000.
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Format: (000) 000-0000.
- If you have guardianship of said student, has legal documentation been turned into the school?
- Will your student have a Day Care Provider?*
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Format: (000) 000-0000.
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- Will your student be using HCCSC Transportation (busing)?*
- Transportation Information:
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Format: (000) 000-0000.
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- Did your child attend preschool?
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- Does your child receive speech services through HCCSC?
- Would you like information on your student attending Kinder Kamp?
- Has your child attended a school in Indiana?*
- Does your child have a 504 plan?*
- Does your child have an IEP?*
- Does your child have an ILP? (Individualized Learning Plan-English Learner)*
- Has your child ever attended HCCSC?*
- Do you have any other siblings enrolled at Huntington County Community Schools?*
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- Does your child want to be enrolled in: (if no, leave blank)
- Is your family on assistance? (Medicaid)*
- Today's Date*
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- Should be Empty: