Ivy Gate Preschool Interest Form

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Thank you for your interest in Ivy Gate Preschool! Please fill out one form per child. We will respond soon to your inquiry to discuss the next part of our assessment process.

Parent Name *

Home Address *

Cell Phone Number *

Email Address *

Child's Name *

Child's Gender *

Child's Date of Birth *

YYYY

Start Date Requested

**Your child must be at least 2 years, 9 months old and fully-potty-trained to begin preschool at Ivy Gate.

Please fill out these ten questions below with the answer that best describes your child's behaviors and abilities in the past two months as compared to other children his/her own age. It is to be expected that high potential preschoolers will be very advanced in certain ways, but not in others.

My child learns more rapidly than peers. *

Not true

Very true

My child has an extensive vocabulary compared to others his/her age. *

Not true

Very true

My child has an unusually good memory for his/her age. *

Not true

Very true

My child has a long attention span for something he/she is interested in. *

Not true

Very true

My child shows a strong curiosity for learning about the world. *

Not true

Very true

My child is already reading or is starting to read before the age of 4.5 years old. *

Not true

Very true

My child notices everything in his/her environment and is a keen observer compared to his/her peers. *

Not true

Very true

My child has a vivid and extensive imagination compared to other children his/her age. *

Not true

Very true

My child loves to work with numbers and is already performing number operations, such as addition and subtraction, before the age of 4.5 years old. *

Not true

Very true

My child seems more sensitive and/or intense than his/her peers. *

Not true

Very true

Describe a specific time when your child surprised you by demonstrating a knowledge or skill that you did not expect for their age. What was the unexpected knowledge or skill, and what was the situation? *

Thank you for submitting this interest form. We will get back to you soon! If you have any questions or would like more information, please contact

Dr. Gayle Bentley at 714-376-5871 or email her at Director@Ivy-Gate.com

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