Madison Registration Sign-up
CHILD MUST BE 5 YEARS OLD BY AUGUST 1ST
Sign in to Google to save your progress. Learn more
Email *
Child's First Name
Child's Last Name *
Child's Birth Date *
Date
Parent First Name *
Parent Last Name *
Address *
Parent Phone Number *
Please choose a date and time to turn in documents. *
Please contact Amanda Young at amanda.young@madisonmohawks.org if all time slots are full.
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Madison Local Schools.

Does this form look suspicious? Report