It is important for our future planning to get all children on the Cloquet School District census files. Parents will then receive updates from the Cloquet School District, the Early Childhood Family Education program and information on preschool screening and Kindergarten round-up before Kindergarten. Please call Theresa at 218-879-9291 if you have any questions. If you are new to Cloquet and want to enroll your child(ren) into Cloquet Schools, please contact the District Office at 218-879-6721 ext. 6205. Thank you!

1.	Submitted by (First and Last Name)

	FULL NAME of Parent/Guardian 1 living at address

2.	Parent/Guardian 1 (required)

3.	Email address

4.	Home phone number

5.	Cell phone number

	FULL NAME of Parent/Guardian 2 living at address

6.	Parent/Guardian 2

7.	Email address

8.	Cell phone number

	ADDRESS OF NEW FAMILY

9.	Address (include apartment #, if applicable)

10.	City, State ZIP

11.	NOTES:

	FULL NAMES AND DOBs of all children living in home

	CHILD #1 INFORMATION

12.	Full Name Child #1 (first,middle,last)

13.	Date of Birth (mm/dd/yyyy)

14.	Gender
	Gender Male Female

	CHILD #2 INFORMATION

15.	Full Name Child #2 (first,middle,last)

16.	Date of Birth (mm/dd/yyyy)

17.	Gender
	Gender Male Female

	CHILD #3 INFORMATION

18.	Full Name Child #3 (first,middle,last)

19.	Date of Birth (mm/dd/yyyy)

20.	Gender
	Gender Male Female

	CHILD #4 INFORMATION

21.	Full Name Child #4 (first,middle,last)

22.	Date of Birth (mm/dd/yyyy)

23.	Gender
	Gender Male Female

	If you have more than four children, please complete this form again with just the additional children's information. Thank you.

New Family and Child Census Information

FULL NAME of Parent/Guardian 1 living at address

FULL NAME of Parent/Guardian 2 living at address

ADDRESS OF NEW FAMILY

FULL NAMES AND DOBs of all children living in home

CHILD #1 INFORMATION

CHILD #2 INFORMATION

CHILD #3 INFORMATION

CHILD #4 INFORMATION

If you have more than four children, please complete this form again with just the additional children's information. Thank you.