Newfield Central Schools CENSUS
Newfield School CENSUS
NYS Recommends that school districts conduct a census of all the children of the district. To help save costs, we are asking that households fill out this form. We will NOT be driving around the town this year going door to door.
House Address
Mailing Address (if different from House Address)
1. Are there children in the household newborn to age 18?
Yes
No
NAME OF CHILD
(first,middle,last)
BIRTHDATE
Month/Day/Year
BOY(B)
GIRL(G)
SCHOOL CHILD ATTENDS
GRADE IN THE FALL
2. List adults living in the household:
mother(
M
), father(
F
), step-mother(
SM
), step-father(
SF
), grandparent(
GM/GF
), brother(
B
), sister(
S
), other adult(
OA
)
NAME OF ADULT
(first,last)
PHONE NUMBER
EMAIL ADDRESS
RELATION TO
CHILDREN