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Gearing Up for Kindergarten Registration Form

4 months ago

Gearing Up for Kindergarten



Parent(s) Name(s): _______________________________________


Address: _______________________________


City: _____________________________


State: _______________ Zip: _________


Phone: ____________________________


Alternate Phone: ____________________


E-mail: ____________________________


Child’s Name: ______________________


Birthdate: __________________________


School:  ___ Washington    ___ Five Points


Do you need child care for siblings?

____ yes                              ____ no


If yes, please list the names and ages of  the children:




Does anyone have any allergies or medical conditions that we need to be aware of?

____ yes                         ____ no


If yes, please specify.




Please return completed registration form to:

Rae Temples

363 Five Points Richmond Road

Bangor, Pa 18013

Principal's Message
Principal's Message
Summer pushes on, but there is still a lot of time to enjoy with family and friends in the sunny weeks ahead. I hope everyone is having a safe and relaxing summer.
We have been very busy through these months in preparation to 2019-2020. With a lot of change in our Elementary restructuring, I am very excited about the work we will be doing with our 3rd and 4th grade learners. I am positive the 2019-2020 school year will be highly successful and chock full of wonderful new memories.
Mr. Davis
March 5th, 7:00 PM @ Wash
April 2nd, 7:00 PM @ DeF
April 30, 7:00 PM @ Wash
May 28th, 7:00 PM @ DeF
Volunteer Requirements
1. All volunteers are required to be approved by the building principal.
2. Volunteer clearance records are maintained in the school main office.
3. All clearances for new volunteers must be new within the previous 365 days.
4. Clearances must be presented in their original and official form (district will maintain copies).
5. New clearances are required every 60 months when the individual performs annual volunteer service with the district
6. The district will accept Department of Human Services of Department of Education generated clearances.
7. Required clearances:

• PA State Criminal History (online with no cost when designated VOLUNTEER)
• PA Child Abuse Report (online with no cost when designated VOLUNTEER)
• FBI Fingerprint Certificate (designated fee)

o If the volunteer has lived in PA for the past 10 consecutive years., they may sign an affidavit (located in the main office of each school) stating they have not been arrested/convicted of any crimes. This takes the place of the FBI fingerprint clearance
o If the volunteer has NOT lived in the commonwealth of PA for the entirety of the past 10 years, an FBI clearance is required. The volunteer should provide the 15 digit PAE number, which can be requested at the fingerprint location or found on the online registration page, so the district can print the official results. Please know that official fingerprint results from the Department of Education or IdentoGo system are not mailed to the applicant. Submit the PAE number to the Office of Human Resources so that an Official Report is generated after fingerprinting is completed

8. Volunteers for athletic or extracurricular positions are required to complete a district generated pre-employment drug and alcohol screen. The volunteer should schedule an appointment with the Office of Human Resources to secure the required drug screen voucher
9. Tuberculosis examination (TB) is required when volunteering for more than 10 hours per week.
Gearing Up For Kindergarten
Gearing Up For Kindergarten