Kindergarten: Staggered Entry Information Request
Please fill out the following information. It will be used to create your child's testing folder and provide information needed for us to relay to the county about your child's experience at Root this year.
Basic Information:
Child's LAST Name: *
Your answer
Child's FIRST Name: *
Your answer
Name Child is Called: *
Your answer
Child's Date of Birth: *
MM
/
DD
/
YYYY
Mother/Guardian's Name: *
Your answer
Mother/Guardian's Email: *
Your answer
Father/Guardian's Name
Your answer
Father/Guardian's Email
Your answer
Is your registration complete?
The following items should have been turned in when you registered or turned in ASAP to complete your child's registration for Kindergarten. Children can be excluded from school if their Health Assessment and Shots are not turned in within 30 calendar days of the start of school so please get yours in as soon as you see your doctor.

Reminder: Blue Health Assessments expire 1 year after they are issued. Your child's BHA cannot expire prior to the start of school or you will need to get a current one.
Please select all of the items you have turned in: *
Required
Preschool Experience
Please list all of the preschools/daycares your child has attended below: *
Your answer
What is the total time your child attended preschool/daycare? *
Reading in the Home
How often do you read to your child? *
Allergies/Health Information
Please let us know the following information so we can make sure you meet with the nurse prior to school starting if needed.
Does your child have any allergies? *
If yes, please let us know what it is and the severity. Please also list any medications your child will need to keep at school.
Your answer
Does your child have any health concerns that we need to be aware of (asthma, diabetes, etc.)? *
If yes, please let us know what it is and the severity. Please also list any medications your child will need to keep at school.
Your answer
Tell us About Your Child:
(Please take this time to let us know the following about your child)
Does your child have any friends/siblings/family members that will be at Root this year? *
If you answered yes to the previous question, please list the names of any friends/siblings/family members that will be at Root and the grade they will be in here. (Ex. John Smith - Rising 2nd)
Your answer
Please let us know anything else that would be helpful for us to know this year about your child (ex. recent divorce, new baby, academic concerns, how your child learns best, etc.)
Your answer
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