New Family and Child Census Information

 
Page 1 of 1
 
  

 
 

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.
 
   
 

FULL NAME of Parent/Guardian 1 living at address


   
2.
 
   
3.
 
   
4.
 
   
5.
 
   
 

FULL NAME of Parent/Guardian 2 living at address


   
6.
 
   
7.
 
   
8.
 
   
 

ADDRESS OF NEW FAMILY


   
9.
 
   
10.
 
   
11.
 
   
 

FULL NAMES AND DOBs of all children living in home


   
 

CHILD #1 INFORMATION


   
12.
 
   
13.
(mm/dd/yyyy)
 
   
14.
 


   
 

CHILD #2 INFORMATION


   
15.
 
   
16.
(mm/dd/yyyy)
 
   
17.
 


   
 

CHILD #3 INFORMATION


   
18.
 
   
19.
(mm/dd/yyyy)
 
   
20.
 


   
 

CHILD #4 INFORMATION


   
21.
 
   
22.
(mm/dd/yyyy)
 
   
23.
 


   
 

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


   
 
 
 
 Done  Save  Cancel