Preschool Census
The Cedar Grove-Belgium School District is conducting a census of all children residing in the district who are of preschool age (birth to 5 years and not currently enrolled in school). Why is it important to be included on the census? If your child is on the census:

1) You will be contacted when it is time for your child to participate in our Child Development Screening (children between 2 years 9 months and 5 years of age who reside in the Cedar Grove-Belgium School District, have not previously been screened, and are not currently enrolled in school are eligible to participate). The purpose of the screening is to check on a child's overall development and determine whether further testing or services are needed.

2) You will receive important information when your child is old enough to register for 4-year-old kindergarten.

3) The census also helps the district project future enrollment numbers, which allows us to plan more effectively for the education needs of our community.

Please fill out the below information for any children in your household ages birth to 5 years who are not currently enrolled in school. The information you provide is greatly appreciated!

Parent/Guardian Name (First and Last) *
Your answer
Parent/Guardian Name (First and Last)
Your answer
Street Address *
Your answer
P.O. Box (if applicable)
Your answer
City *
Main Phone Number (please specify if home phone, mother's cell, or father's cell) *
Your answer
Email Address
Your answer
If parents have separate addresses, please enter second address here and indicate if mother's or father's address:
Your answer
Child #1 First and Last Name *
Your answer
Child #1 Date of Birth *
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Child #1 Gender *
Child #2 First and Last Name
Your answer
Child #2 Date of Birth
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DD
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YYYY
Child #2 Gender
Child #3 First and Last Name
Your answer
Child #3 Date of Birth
MM
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DD
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YYYY
Child #3 Gender
Child #4 First and Last Name
Your answer
Child #4 Date of Birth
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DD
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YYYY
Child #4 Gender
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