Kindergarten Student Information
Welcome Future Suns!
Please complete the following information for each child you will be registering. This form will be used during the placement process to help us create balanced classrooms.
Child's Date of Birth (mm/dd/yyyy)
Parent/Guardian Name #1
Parent/Guardian Phone Number #1
Parent/Guardian Name #2
Parent/Guardian Phone Number #2
Street Address Line 2
State / Province
Postal / Zip Code
Did your child attend preschool?
If you answered "yes" above, how many days a week did your child attend preschool?
Name of preschool attended:
Please list siblings and ages or write N/A:
What do you view as your child's greatest strengths?
What does your child like to do in his/her free time?
Does your child have access to a computer/laptop/tablet at home?
Tell us a little about your child's personality or preferences: (example, outgoing, shy, prefers to...does well with...)
Are there any social, emotional, physical, or academic issues that may be an area of concern?
What goals and/or concerns do you have for your child in his/her Kindergarten year?
Does your child have any medical concerns we should know about? (Allergies, vision, hearing, diabetes, heart condition, syndromes, asthma, seizures, dietary restrictions, dental appliances, motor restrictions, other)
Would you be interested in your child attending SACC (School Age Child Care)?
Is your child currently receiving special education services? If yes, please provide additional information.
Thank you so much for taking the time to complete our survey!
Cheyenne Elementary Kindergarten Team
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