SURVEY OF PRESCHOOL CHILDREN
REQUIRED ENROLLMENT: Virginia law, Section 22.1-254, requires that children who will reach their fifth birthday on or before September 30, 2021, must be enrolled in Kindergarten for the 2021-2022 school year unless the parent or guardian notifies the school in writing that they do not wish the child to attend school until the following year.
Sign in to Google to save your progress. Learn more
Email *
NAME OF PARENT OF GUARDIAN *
TELEPHONE *
ADDRESS OF RESIDENCE *
LAST NAME OF CHILD                                                                       (List ONLY the name(s) of child(ren) who will be 5 years of age as of September 30, 2021. *
FIRST NAME OF CHILD                                                              (List ONLY the name(s) of child(ren) who will be 5 years of age as of September 30, 2021. *
M.I. OF CHILD                                                                        (List ONLY the name(s) of child(ren) who will be 5 years of age as of September 30, 2021. *
GENDER OF CHILD
BIRTHATE OF CHILD
MM
/
DD
/
YYYY
SCHOOL CHILD WILL ATTEND IN 2021-2022
EXPECTED ENTRY YEAR (as of September- IF ENTERING FAIRFAX COUNTY PUBLIC SCHOOLS AFTER 2021-2022
MM
/
DD
/
YYYY
EXPECTED ENTRY GRADE (as of September- IF ENTERING FAIRFAX COUNTY PUBLIC SCHOOLS AFTER 2021-2022
ENROLLMENT OF THE SCHOOL CHILD
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Fairfax County Public Schools. Report Abuse
Google Forms