Kimberly Area School District Census
As a public school district, we are required to maintain a census of all residents up to
the age of 21 living within the Kimberly Area School District.

Please help us by completing the information below and submitting this form for any children not currently attending the Kimberly Area School District. 

If you have completed this form for us in the past, you do not need to re-enter the information. 
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Mother's Legal Name (first, middle, last):
Complete Address:
Phone Number:
email address
Father's Legal Name (first, middle, last):
Complete Address (if different):
Phone Number
email address
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