Pre-K Screening/Student Information 2024-25. (Only complete this form if your child has never been screened or is transferring into the district from another PreK Program. If you child is a returning Flora Pre-K student, complete all the Returning Student Forms on the webpage including the required Free/Reduced lunch Form.)

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

(Child cannot be 5 on or before September 1st.)

Email *

Child's Name ( First, Middle, Last) *

Gender

Birthdate *

YYYY

Age in Years & Months (ex. 2 years 11 months)

Phone Number - #1 *

Phone Number - #2

Mother's Name or Guardian (First & Last)

Father's Name or Guardian (First & Last)

Is your child transferring into the district from another PreK Program? Please list the name of the school they attended. Please request records to be sent to Flora Elementary. You will be contacted by Pre-K staff mid-August for any additional information and placement.

You will be contacted by Pre-K Staff regarding screening time and dates. This is the only form you will need to complete at this time to have your child screened. Please watch this webpage for updates. If you have questions, email Emily Glassford at eglassford@floraschools.com. We look forward to working with you!

Submit

Clear form

Never submit passwords through Google Forms.

This form was created inside of Flora Community Unit School District #35. Report Abuse

Forms