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MASON PUBLIC SCHOOLS
KINDERGARTEN REGISTRATION FORM
Kindergarten Round-Up and Visitation Dates
Monday, March 16th – Alaiedon Elementary
Tuesday, March 17th – North Aurelius Elementary
Wednesday, March 18th – Steele Elementary
Materials to Bring to Kindergarten Round-Up and Visitation
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Certified Birth Certificate (stamped with State of Michigan seal)
One Proof of Residency (utility bill, rental agreement)
Immunization Record
Please complete the form below and mail or bring to your child’s resident school. Please contact
Transportation Supervisor, Kevin Doty (517-676-6496) if you are uncertain of your child’s resident school.
Registration materials and Kindergarten Round-Up confirmation will be mailed to you.
 Alaiedon School
1723 N. Okemos Rd.
Mason, MI 48854
(517) 676-6499
Check the Box of Your Resident School
 N. Aurelius School
115 N. Aurelius Rd.
Mason, MI 48854
(517) 676-6506
 Steele School
531 Steele St.
Mason, MI 48854
(517) 676-6510
Child’s Name: ________________________ Gender: ___ Child’s Date of Birth: __/__/__
M/F
Mo./Day/Year
Parent’s Name: _____________________________
Home Address: ____________________________________________________________
House/Lot Number/Street
Home Phone: ________________________
Work Phone: ________________________
Cell Phone: _________________________
City
State
Zip
Round-Up Session Choices (Please Indicate 1st, 2nd, & 3rd Choice)
 _____ 4:30-5:30PM
 _____ 5:30-6:30PM
 _____ 6:30-7:30PM
Parent Signature: __________________________________________________________
Thank you parents – we appreciate your assistance!
Kindergarten Eligibility
Beginning with the 2015-16 school year, students enrolling in Kindergarten
must turn five years old by September 1, 2015. The law does make a
provision for parents to enroll their child whose birthday falls after the date specified, but still before
December 1, 2015. Parents must complete a waiver form by June 1, 2015. This waiver from the age
requirement only applies in the 2015-16 school year. Parents may request a waiver form from their resident
school.