Census Form
The Smithtown Central School District requests you complete the attached survey to assist us as we plan for the future.  Thank you for your cooperation and support.
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Street Address *
ZIP Code *
Do you currently have children that attend the Smithtown Central School District? *
How many children currently reside at the above address that are not yet enrolled in Kindergarten? *
Child 1
of those not currently enrolled.
Date of Birth *
MM
/
DD
/
YYYY
Gender *
Child 2
of those not currently enrolled.
Date of Birth
MM
/
DD
/
YYYY
Gender
Child 3
of those not currently enrolled.
Date of Birth
MM
/
DD
/
YYYY
Gender
Child 4
of those not currently enrolled.
Date of Birth
MM
/
DD
/
YYYY
Gender
Child 5
of those not currently enrolled.
Date of Birth
MM
/
DD
/
YYYY
Gender
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