ECC Student Application   2025-2026 School Year
Please complete one application per child. Once the application is completed and you are confirmed to reside within our school district boundary, you will be contacted to schedule a developmental screening. If you are a current ECC student, you will not need to complete a developmental screening.

Complete and submit this application form for a child who will be turning 3 years old on or before July 31, 2025. Children who turn 5 years old by July 31, 2025 must register for Kindergarten at their home elementary school.

If your child is currently enrolled in one of our special education classrooms, you will not need to re-enroll. You will be receiving correspondence soon from Dr. Ann Westbrook, ECC Principal. 

Email *
Student's Last Name: *
Student's First Name: *
Is your child currently attending ECC? *
Student's Date of Birth: (Child MUST be turning 3 years old on or before July 31, 2025) *
MM
/
DD
/
YYYY
Parent(s)/Guardian(s) First and Last Name: *
Address in which student resides, please include the zip code: *
Primary Phone Number:  *
I understand that I must be a district resident to access preschool at the Saint Charles Early Childhood Center. 
If you are unsure, please call our office at (636) 443-2905.
 *
Required
Child's primary language?  *
Please list additional languages spoken in the home:
If you are not a current ECC student, has your child had a DIAL-4 screening within the last 6 months? *
Has your child had a Special Education Evaluation? (This includes First Steps and Preschool) *
Has your child attended or is currently attending another preschool/daycare?  *
Check all that apply to your child: *
Required
First Session Choice (Tuition paid in monthly installments via auto debit Aug- May): *
Second Class Choice (Tuition paid in monthly installments via auto debit Aug- May) *
Before/After Program, please choose one (Tuition paid in monthly installments via auto direct Aug- May): *
Would you like your child to be considered for a peer model? This is a combination classroom of children who need special education support and those who do not. The curriculum and materials in both classes are exactly the same, the main difference is that the class size is smaller, it is a 4 half day class (M-TH; 8-11am or 12-3pm), there is no tuition cost. 

Qualifications are dependent on the developmental screening.
You will be notified if your child qualifies as a peer model.
 *
Additional Information:
A copy of your responses will be emailed to .
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of St. Charles RVI Schools.

Does this form look suspicious? Report

Google Forms