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May 2026 Preschool Screenings Registration
Please complete the following form to register your child for a screening. Please note that your child MUST be AT LEAST three years old to participate in a screening.
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Email
*
Your email
Child's Name (first and last)
*
Your answer
Parent/guardian name(s)
*
Your answer
Child's date of birth (children MUST be at least 3 years old to attend a screening)
*
MM
/
DD
/
YYYY
Parent/guardian email
*
Your answer
Parent/guardian phone number
*
Your answer
Mailing address (families must be Colchester residents to attend a screening)
*
Your answer
Please briefly describe any concerns you have with regard to your child's development (if any).
*
Your answer
Please select your preferred time. We will do our best to accommodate each request.
9:00-9:45
10:00-10:45
11:00-11:45
12:00-12:45
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A copy of your responses will be emailed to the address you provided.
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