The version of the browser you are using is no longer supported. Please upgrade to a supported browser.Dismiss

Kindergarten Screening Sign Up 2017
Hello! Welcome Future Jaguar Cubs to Seckman Elementary!

Please complete the Student and Parent information below to sign up for a kindergarten screening.
Choose a date that you are available to bring your future Kindergarten student for a screening.
Click Next and choose a time that works best for you on your selected date.
You will receive a confirmation email after your request is submitted.

To avoid having to return on Kindergarten Registration Day, please bring the following documents with you to the screening appointment:
Birth Certificate
Health/Immunization Record
Proof of Residency

In order to register for the upcoming school year, children must be 5 years old on or before July 31st, 2017.


***If you need to change your Screening appointment after you sign up, Please call Seckman Elementary at 636-296-2030 and ask for Cheri Estopare to reschedule.

Thanks for signing up with our online registration! We look forward to meeting you!

Student Name
Your answer
Student Birthdate
MM
/
DD
/
YYYY
Student Age:
Please use digits only.
Your answer
Parent Names:
Your answer
Home Address: (include house number, street, city, state, zip code)
Your answer
Phone number: (number used as a home number or emergency number)
Your answer
Parent email:
Your answer
Parental Concerns:
Explanation of Parental Concerns:
Your answer
Available Time Slots
Please select a date you would like for your child's Kindergarten Screening:
Next
Never submit passwords through Google Forms.
This form was created inside of Fox C-6 Schools. Report Abuse - Terms of Service - Additional Terms