Kindergarten Screening Sign-Up 2019-2020
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 copy of your request after your request is submitted.

Registration for the upcoming school year is Thursday, March 21, 2019.
Children must be 5 years old on or before July 31st, 2019.
You will need the following documents to register your child:
Birth Certificate
Health/Immunization Record
Proof of Residency

***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!

Email address *
Student Name *
Your answer
Student Birthdate *
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 (please check all that apply):
Explanation of Parental Concerns:
Your answer
Does your child participate in the Parents as Teachers (PAT)? *
Does your child currently attend a preschool or daycare program? *
If yes, please select from the following. If no, please select NA. *
Available Time Slots
Please select a date you would like for your child's Kindergarten Screening: *
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