JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Canterbury, CT. Kindergarten Waiver Request Form
Please fill out this form if your child is not age 5 by September 1, 2024 but you wish to have them assessed for admission in to kindergarten for the 2024/2025 school year
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Student's Last Name
*
Your answer
Student's First Name
*
Your answer
Child's Date of Birth
*
MM
/
DD
/
YYYY
I am requesting a waiver for my child
*
Yes
No
Telephone Number to best contact me at:
*
Your answer
My address is (Include mailing address, if different):
*
Your answer
Have you signed your child up for the PK Screening on March 25 - 26, 2024? If not, please call 860-546-1040 to make an appointment.
*
Yes
No
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Canterbury Public Schools.
Report Abuse
Forms
