R-P Schools Early Childhood Screening Sign-up
Please fill this form out to sign your child up for Rushford-Peterson Schools early childhood screening taking place on: April 7th, 2026.
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Email *
Child's Name (first, last) *
Gender *
Child's Age *
Child's Date of Birth *
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Parent(s)/Guardian(s) (first, last) *
Address (street, city, state, zip) *
Email Address *
Phone # *
Please select a time for your child to be screened. *
Please list any siblings that are younger than your child being screened. This is a great way to make sure we have your children on the Rushford-Peterson School's census list for upcoming early childhood screenings. Please list each child's full name, gender, and birthdate. Thank you. *
Please check here if you would like to receive the ECFE newsletter and are NOT on our mailing list!
Thank you so much for signing up for screening. Please contact Heather Grigg with any questions at heathergrigg@r-pschools.com.
Age 3? Time to screen!
A copy of your responses will be emailed to the address you provided.
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