2019-20 Kindergarten Screening Signup
Student Last Name
Student First Name
Student Date of Birth
Student must be five years old before August 1, 2019
Parent First and Last Name
Home Phone Number:
Cell Phone Number:
Example: 218 W. McCabe Street
City, State, Zip
Example: Strafford, MO 65757
If you are not currently enrolled at Strafford, please bring the following items with you at time of screening:
By checking the box next to each item, I understand I am required to bring these items with me on the day of screening.
Proof of Residency (examples of acceptable documents include: a property tax statement, lease/rental agreement, current utility bill and/or mortgage documents)
If you are enrolled at Strafford, updated immunizations is the only document required.
Time Slot Signup
After submitting this form, your registration will not be complete until using the link provided on the confirmation page to sign up for a specific date and time for your child's screening.
I understand I need to sign up for a date and time using the SignUpGenuis link on the confirmation page
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