Kindergarten Student Information 2019
Please share information about your incoming kindergartener. All information is confidential.
Child's Name *
Your answer
Nickname
Your answer
Age as of October 1st (______years, ________months) *
Your answer
Date of Birth *
MM
/
DD
/
YYYY
Gender *
Email Address *
Your answer
Attended Preschool? *
Name of Preschool
Your answer
Years attended
Your answer
Has your child been screened by Cherry Creek Child Find? *
Has your child been screened by an outside agency? (If yes, please list where in other) *
Can your child use the bathroom independently? *
Can your child write their name? *
Can your child name and recognize the alphabet? *
Can your child name and recognize numerals 1-10? *
Can your child name and recognize colors? *
Can your child count to 10? *
Which hand does your child prefer to use? *
Can your child use scissors to cut a straight line? *
How will your child get home after school? *
Please share anything else you feel is important and pertinent for us to know about your child (kindergarten adjustment, concerns, expectations, health concerns, etc.).
Your answer
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