Cape Girardeau Public Schools               Community Developmental Screening                                                             
To register for screening please fill out the form below including all requested information. Community DIAL Screenings will take place at the Central Administration Office at 301 N. Clark St., Cape Girardeau, MO, 63701. Please fill out ONE form for EACH child attending. Screening is for children 12 months to age 5 who have not yet entered kindergarten.
Email *
Email *
Please provide first and last name of guardian(s) *
Please provide first and last name of child *
Child date of birth *
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Address *
Telephone number *
Currently Enrolled in Parents as Teachers *
Below is the link to register for Cape Girardeau Parents as Teachers Program
Currently Enrolled in Missouri First Steps *
Currently enrolled in Cape Girardeau Public Schools Early Childhood Center or Pre-k Program *
Which Screening date are you requesting to attend *
Required
Please select a screening time *
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