RES - KINDERGARTEN Screening Appointment Form
The purpose of this form is to request a screening appointment for your Kindergarten aged child.  Please be sure to select school that is within your residential boundaries to attend.
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Health Requirements
The following must be met for successful enrollment in Kindergarten:

Physical Exam
Dental Exam
Vision Exam
Immunizations

*We understand that because of COVID-19 and the CDC Guidelines, obtaining medical records may prove to be difficult.  Rockcastle County Schools will be flexible in the timeline of submitting those medical specific requirements.  
Child's full legal name (First, Middle, Last) *
Child's date of birth *
MM
/
DD
/
YYYY
Parent/Guardian Name(s) *
Child's physical home address *
Child's mailing home address (mark N/A if not applicable) *
Phone number *
Does your child have any special needs/considerations, or does he or she receive special education services? *
Required
Please select a screening appointment date: *
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