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W4K Screening Registration 2018-19
The W4K Screening Registration is designed to provide an overall developmental review to any child 4 years old by September 1, 2018 living within the Waupaca School District. Parents will be mailed a questionnaire regarding their Child's development and asked to return it in the SASE. At the Screening Registration each child will participate in a play based screening. Specialists in the Early Childhood field will be available to address any questions or concerns raised by parents. For registration parents will need to bring proof of birth (birth certificate or passport) and immunization records for their child to complete the paperwork. The W4K Screening Registration will give parents the opportunity to learn about the W4K program and ask any questions needed.

W4K Open House is scheduled for Tuesday, March 6 from 3:30-5:30pm.
Please visit any of our W4K Sites: Chain O' Lakes Elementary, Headstart Waupaca, Sunny Day Childcare, Trinity Tiny Treasures, or the Waupaca Learning Center.

Appointments to attend the Screening Registration are necessary. Please complete the form below to secure your spot in the W4K Screening Registration Days for the 2018-2019 school year!

Contact the Waupaca Learning Center at 715-258-4141 with any questions.

Child's Name (first, middle, last) *
Your answer
Child's Birthdate (dd/mm/yy) *
Parents Name(s) *
Your answer
Address *
Your answer
Primary Phone Number * (715-xxx.xxxx) *
Your answer
Primary E-mail Address *
Your answer
Screening Date (choose one) *
Your answer
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