Kindergarten Registration Information
Child's First and Last Name
Your answer
Child's Gender
Male
Female
Prefer not to say
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Child's Birthday
MM
/
DD
/
YYYY
What will be your child's age on September 1, 2021?
Your answer
Check the following words that describe your child's personality:
Kind
Independent
Aggressive
Outgoing
Shy
Dependent
Moody
Withdrawn
Happy
Sullen
Afraid
Flexible
Sad
Helping
Personable
Cooperative
Humorous
Frustrated
Does your child fluently speak another language other than English?
Yes
No
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In terms of general development, I see my child's GENERAL PHYSICAL DEVELOPMENT as:
Below Average
Average
Above Average
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In terms of general development, I see my child's FINE MOTOR SKILLS (cutting, coloring, etc.) as:
Below Average
Average
Above Average
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In terms of general development, I see my child's ABILITY TO CONFORM TO RULES as:
Below Average
Average
Above Average
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In terms of general development, I see my child's SPEECH AND LANGUAGE as:
Below Average
Average
Above Average
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In terms of general development, I see my child's ABILITY TO CONTROL EMOTIONS as:
Below Average
Average
Above Average
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My own priorities for what my child should learn in kindergarten include a POSITIVE ATTITUDE.
Lowest Priority
1
2
3
4
Highest Priority
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My own priorities for what my child should learn in kindergarten include CREATIVE EXPRESSION.
Lowest Priority
1
2
3
4
Highest Priority
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My own priorities for what my child should learn in kindergarten include APPROPRIATE SCHOOL BEHAVIOR.
Lowest Priority
1
2
3
4
Highest Priority
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My own priorities for what my child should learn in kindergarten include BEGINNING READING AND MATH SKILLS.
Lowest Priority
1
2
3
4
Highest Priority
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My own priorities for what my child should learn in kindergarten include ...
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What kind of activities does your child enjoy most?
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Did your child attend a formal preschool?
Yes
No
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Does your child have an IEP?
Yes
No
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If yes, which preschool and for how many years?
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Please let us know anything else that will help us serve your child better:
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