Kindergarten Pre-Registration & Screening

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Students entering Kindergarten in the state of Illinois must be 5 years of age before September 1, 2023. Kindergarten screenings will be held on May 22nd & 23rd. Please allow one hour for the screening process. At the time of screening, you will need to present your child's certified birth certificate and show proof of residency. Each child entering Kindergarten MUST have an up-to-date dental, physical, record of immunizations, and vision exam on file with the district by August 1, 2023. Health forms will be available at the screening. Completed health records can be faxed from your provider to Mrs. Larrisa Watts, R.N. at (309-383-2122) or dropped off in our blue drop box next to our elementary door #7. If you have questions, please contact Ms. Fiveland at 383-2121, option 2.

Email *

Student First Name *

Student Last Name *

Student Middle Name *

Student Gender *

Male

Female

Student's Date of Birth (must be 5 years of age by September 1, 2023) *

YYYY

I understand that I need to bring an original birth certificate to the screening appointment. (Copies are not permitted) *

Yes

Parent/Guardian 1 Name (First and Last) *

Home address *

Parent/Guardian 1 Phone Number *

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