Kindergarten Assessment Request
This form is to request an assessment for a potential Kindergarten student born after August 1 and before September 15th.
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Child's Last Name *
Child's First Name *
Child's Birthdate *
MM
/
DD
/
YYYY
Address *
Home School *
Parent Last Name *
Parent First Name *
Parent Phone Number *
Parent Email Address *
Will you have an out of area child care request? *
If you will have a child care request, what is the address of the child care location?
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This form was created inside of Sweetwater County School District #1.

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