Kindergarten Roundup Screening 2022-2023

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Parkview Elementary is the home of Preschool and grades K-2 in the Cameron R-1 School District. Please complete this form if your child will be five years old prior to August 1, 2022, and you are planning to send him/her to Kindergarten at Parkview during the 2022-2023 school year. The information obtained in this form is vital as it helps us prepare for the upcoming year to ensure we have enough teachers, resources, furniture, and supplies. It also provides us with your contact information so we can send you official enrollment forms, information about Summer School, Open House, etc.

Kindergarten Roundup will be held on Thursday, March 10th. Students currently enrolled in Parkview Preschool will be screened during the regular school day and will not attend Roundup. All other families completing this form will be contacted by the school in February to schedule a screening appointment. If you have questions, please call Angie Ormsby, Principal, at 816-882-1051. Thank you!

Email *

Student's Last Name *

Student's First Name *

Student's Date of Birth (Month, day, year) *

YYYY

Parent/Guardian's Last Name *

Parent/Guardian's First Name *

Complete Address (Street address, City, State, Zipcode) *

County *

Phone Number (with area code) *

Is your child currently enrolled in a preschool program? *

Yes

Preschool Program Name *

Parkview Preschool

Noah's Ark

Giggles and Wiggles

Butterfly Barn

Head Start

N/A (This question doesn't apply to me.)

Other:

Required

Are you now, or were you previously, a participant in Cameron R-1's Parents As Teachers program? *

Yes

Have you ever participated in Cameron R-1's Early Childhood Screening? *

Yes

Developmental Milestones for 5 year olds are listed below. Please check any areas of development of which you are concerned for your child:

Cognitive (counting objects less than ten, drawing pictures, copying shapes, letters, numbers)

Language/Communication (speaking clearly, talking in sentences, knows own name)

Social Emotional (independent - separates easily, cooperative behavior, follows rules, enjoys playing with other kids)

Movement/Physical Development (potty trained, hops, runs, uses fork and spoon, drinks from a cup)

Physical Disability has already been identified.

Learning Disability has already been identified.

No Concerns

Other:

When would a Kindergarten screening appointment be most convenient for you?

Morning

Afternoon

Evening

A copy of your responses will be emailed to the address you provided.

Submit

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