Child Development Days Registration
Please fill out the basic profile information with a request for date/time. You will receive a confirmation call or email to let you know the date/time your child(ren) is registered for. Paperwork will be mailed home prior to the screening date.

All screenings will be held at Tainter Elementary School in Rice Lake, 2201 Carrie Ave, behind Farm & Fleet.

Call Amber at 715-234-9007, ext. 5019, or email her at with any questions.

Parent/Guardian Information
Parent/guardian name:
Your answer
Is the listed parent/guardian the legal guardian?
Parent/guardian address
Your answer
Parent/guardian home phone number
Your answer
Parent/guardian home email address
Your answer
Would you prefer a confirmation email or phone call for your appointment date and time?
Please list names and birthdates for any children you will be bringing to the screening. All children up through age 5 (not yet in kindergarten) are welcome.
Your answer
Does your child have any problems that might hinder his/her progress in school? If yes, please explain.
Your answer
Is there any history of learning difficulties or dyslexia in the family?
What date would you like to attend? Select "other" if these dates don't work with your schedule.
Preference on beginning or end of the session?
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