Kindergarten: Staggered Entry Information Request
Please fill out the following information. It will be used to fill out questions for the county about our students this year, used to make Staggered Entry testing folders, and connect you to Memberhub:
Child's Full 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
Preschool Experience
Please list all of the preschools/daycares your child has attended to 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? *
Memberhub Information
Memberhub is the way we communicate at Root. This year, you will receive emails that inform you of items going on at our school (from the principal, PTA, Specialists, classroom teachers, etc.). This could be information about upcoming events, volunteering opportunities for the classroom, reminders or sign-ups. Parents also have access to connect with each other for play dates or carpool arrangements. In order to get you signed up, we need at least one working email address (that is checked regularly) and your permission below to release your name and email address to Memberhub. If both parents would like to sign up, that is fine too. Please let us know which email/emails to use so we can start the process.
Please let us know which email you would like to connect to Memberhub this year. *
I, parent/guardian listed above, give permission to Root Elementary to release my email address, name, and child's name to Memberhub so I can be signed up to receive and send messages this year pertinent to my child's school experience. I understand that if I do not give permission, I may miss out on sign-ups for classroom/school events/field trips and other important information. I also understand by declining that it is my responsibility as the parent to contact the teacher about upcoming events listed on the Root Website. *
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?
Please list the names of any friends/siblings/family members that will be at Root and the grade they will be in here.
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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