HILLSBOROUGH TOWNSHIP PUBLIC SCHOOLS Registration

Hillsborough Township Public Schools Hillsborough, New Jersey 08844 htps.us

January 2017

IMPORTANT NOTICE TO ALL PARENTS OR GUARDIANS OF PRE-KINDERGARTEN CHILDREN

The administration and faculty of the Hillsborough Township Public Schools are presently beginning the kindergarten registration for students entering our 2017/2018 kindergarten program. In accordance with district policy, to be eligible for kindergarten in September 2017, a child must be five years old on or before October 1, 2017. No exceptions are made to this policy.

Kindergarten registration for the 2017-2018 school year will be held on Tuesday, February 28, and Wednesday, March 1. There will be a morning session in each elementary school and evening sessions by appointment only held in the Board of Education Conference Room in the Township Municipal Building for parents who cannot attend the morning session. HHS Spanish Honor Society students will be available at the evening registrations to translate as needed.

If you are the parent or guardian of a pre-school child who will be eligible for the 2017/2018 kindergarten class, please follow the steps below:

Step 1 ? Obtain a Registration Packet

1. Download a packet from the district website: htps.us. The packet can be found on the homepage under Headlines or on the District Info Tab and School Registration.

2. You may call the school to request that a packet be sent home with a sibling or have a packet emailed or mailed to you.

Step 2 ? Attend a Registration Session

1. If you are not sure of your designated school, please call the Transportation Department at 908-431-6600 Prompt 6.

2. Please see the list of schools below. If your elementary school requires an appointment, please call 908-431-6600 Prompt 4 to set up an appointment. Please bring your completed kindergarten packet to your registration.

3. If your elementary school does not require an appointment, simply attend the registration session at the time designated below. Please bring your completed kindergarten packet to your registration.

4. If you would like to attend an evening session at the Board of Education offices, please call your child's elementary school (908-431-6600 Prompt 4) to schedule an appointment. Please bring your completed kindergarten packet to your registration.

Hillsborough Township School District Elementary Schools

Telephone Number for All Elementary Schools: 908-431-6600 Prompt 4

Amsterdam Elementary School

Triangle Elementary School

Dr. Mary Ann Mullady, Principal

Mrs. Lisa Heisel, Principal

301 Amsterdam Drive

156 South Triangle Road

Registration Information: 8:00 a.m. ? 11:00 a.m.

Registration Information: 8:00 a.m. ? 11:00 a.m.

February 28 ? Last names A-L

February 28 ? Last names A-L

March 1 ? Last names M-Z

March 1 ? Last names M-Z

Hillsborough Elementary School

Woodfern Elementary School

Ms. Susan Eckstein, Principal

Mr. Steven Kerrigan, Principal

435 Route 206

425 Woodfern Road

Registration Information: 9:00 a.m. ? 12:00 noon

Registration Information: 9:00 a.m. ? 12:00 noon

Please call for an appointment.

Please call for an appointment.

Sunnymead Elementary School

Woods Road Elementary School

Dr. Tammy Jenkins, Principal

Ms. Jodi Howe, Principal

55 Sunnymead Road

401 South Woods Road

Registration Information: 9:00 a.m. ? 12:00 noon

Registration Information: 9:00 a.m. ? 12:00 noon

Please call for an appointment.

February 28 ? Last names A-L

March 1 ? Last names M-Z

NJ SMART I.D. No.________________

HILLSBOROUGH TOWNSHIP PUBLIC SCHOOLS

Registration Information 20_____ - 20_____

Enclosure A

Start Date

School

Grade

Last Name ______________________________ First ___________________________Middle ________________ Nickname_________________ Male Female

Ethnic Code (Circle one only)

W (White)

B (Black or African American)

A (Asian)

H (Hispanic or Latino)

I (American Indian or Alaskan Native)

P (Native Hawaiian or other Pacific Islander) Other:

Date of Birth: Month _____ Day _____Year_____

City and State/Country of Birth _____________________________________________________________

US Entry Date__________

First Entry to US School ____________ Current School Entry Date ____________

Expected Year of Graduation ________

Home Language: _____________________

Primary Language: _____________________

Home Address ___________________________________________________ Mailing ________________________________________________________________

Street or Road

Town

Zip Code

(if different than home address)

Transferred from:

School/Preschool

Street Address

City

State

Telephone

PARENT/GUARDIAN INFORMATION (Circle) Single

Married

FATHER (parent stepparent guardian )

Name:

Occupation:

Name of Employer:

Address of Employer:

City/Town/Zip Code

Phone: (H)

(W)

(Cell)

Email Address:

Separated

Divorced

Deceased

MOTHER (parent stepparent guardian )

Name:

Occupation:

Name of Employer:

Address of Employer:

City/Town/Zip Code

Phone: (H)

(W)

(Cell)

Email Address:

Other children in family

Name

Sex

Date of Birth

1.

2.

3.

Others living with family and relationship

NAME OF NEARBY PERSON TO CALL IN CASE OF EMERGENCY (PLEASE LIST TWO NAMES)

Name: _____________________________________________ Address:

Phone #: _______________________

Name: _____________________________________________ Address:

Please state if you are a legal resident of Hillsborough Township: Yes No If no, please explain:

Phone #: _______________________

Falsification of any information on this form may result in financial responsibility for school attendance. Parent/ Guardian Signature:

_________

Do you have health insurance?

New Jersey Data Collection Information

Enclosure B

Yes - Insurance Provider: _____________________________________________________________________________________________________

No - If no, NJ FamilyCare provides free or low cost health insurance for uninsured children and certain low income parents. For more information call 800-701-0710 or visit to apply online. You may release my name and address to the NJ FamilyCare Program to contact me about health insurance.

___________________________________________________________________________________________________________

Signature

Printed Name

Written consent required pursuant to 20 U.S.C. ?1232g(b)(1) and 34 C.F.R. 99.30(b).

_______________________ Date

HBOE SMARTS ID: Teacher Placement:

TO BE COMPLETED BY SCHOOL PERSONNEL

Entered/Roster

Entered/Enrollment Changes Report Copy to Transportation

Entered/Instant Alert Mealtime Parent I.D. Letter

Proof of Birth: Original Birth Certificate Other

Immunizations Provided

Proof of Residency: Deed or Lease and Current Tax Bill Current Utility Bill Other

Custody Papers provided: N/A Yes No If no, to be provided by:

____________

For Transfer Students: Date records requested

_____________

Signature of Registrar:

_________________________________

Date:

HILLSBOROUGH TOWNSHIP PUBLIC SCHOOLS

379 South Branch Road Hillsborough NJ 08844-3443 (908) 431-6600

Enclosure C

htps.us

CUSTODIAL AND RELEASE INFORMATION

Date: ___________________________ Child's Name: _____________________________________________

1. I am the parent/guardian with custodial care. My child is not to be released to anyone but me and:

______________________________________________________________

______________________________________________________________

______________________________________________________________

unless authorized by me in writing.

2. Papers showing legal custody are on file:

Yes

No

Papers showing legal custody will be submitted to the school office by:

_______________________________ Date

___________________________________________________

Parent/Guardian Name ? Please Print

___________________________________________________

Parent/Guardian Name - Signature

KINDERGARTEN MEDICAL RECORD HILLSBOROUGH TOWNSHIP SCHOOL DISTRICT 379 South Branch Road Hillsborough NJ 08844

Enclosure D

To be completed by Parent/Guardian

Child's Last Name Father's Name Address Date of Birth Address

(Kindly print)

Date

First Name

Middle Name

Mother's Name

Hillsborough, NJ 08844

Male Female Telephone #

Telephone #

HEALTH HISTORY

Birth Weight

___ Type of Delivery: Vaginal C-Section Oxygen used: Yes No

Condition at birth (jaundice, incubator, etc.)

Complications during delivery Age of Standing

Walking

Talking

1. Behaviors/Characteristics of note (comment in blank space)

Appetite

Fearfulness

Bowel/bladder control (age)

Nail biting

Disturbed sleep

Persistent crying

Easily distracted

Stubborn

Eating habits

Temper tantrums

Family history of color deficiency

Speech difficulties

Finger sucking

Independent

2. Dietary Restrictions: Please list, if any: __________________________________________________

3. Has your child seen a dentist?

Yes

No

4. Does your child wear glasses?

Yes

No

5. Diseases

History Food Allergies Non-Food/Non-Drug Allergies Asthma Congenital Disorder Convulsive Disorder Diabetes Influenza (Flu)

Year

History Drug Allergies Heart Disease Hepatitis Lyme Disease Mononucleosis Neuromusc. Disease Chronic Otitis Media

Year

History Auto Immune Disorder Strep Infections Juvenile Rheumatoid Arthritis Autism Spectrum Disorders Hematological Disorders ADD/ADHD Other:

Year

6. Tuberculosis: Yes No Contact's Name

7. Hospitalization (surgical/medical)

8. Significant Injuries

9. Pain: Joints

Muscular

10. Frequency of: Sore Throat

Earache

11. Cough

Headaches

12. Any special condition the school should be aware of:

Date

Other Colds

Stomach Disorder

I give permission to share medical information with the appropriate school staff: Parent/Guardian Signature:

Yes No Date:

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