Romona N. Wenck
Superintendent
Dear Parents,
HELP! We need to have a better idea of the numbers of pre-schoolers living in our community.
This information is vital to the educational process, from purchasing pencils and papers to
assigning classroom teachers.
If you have pre-school children living in your home would you please provide us with the following
information. If you have a child who will be five (5) years old by December 1, and who will
be coming to our kindergarten in September, please list that child first. We will put you on a
mailing list to receive a packet for kindergarten screening. We would truly appreciate receiving this
information from you.
Thank you.
Romona N. Wenck
Superintendent
(please return completed form to the main office at school.)
Name of Parents:____________________________________________________
Address of Parents:__________________________________________________
Phone number(s):____________________________________________________
Please list each preschool child individually. Include all pre-school children, regardless of age.
1)Name:_______________________________________ Sex: M F
Date of Birth:__________________________________
Anticipated year to enter Kindergarten:___________________
2)Name:_______________________________________ Sex: M F
Date of Birth:__________________________________
Anticipated year to enter Kindergarten:___________________
3)Name:_______________________________________ Sex: M F
Date of Birth:__________________________________
Anticipated year to enter Kindergarten:___________________
(add more names on additional sheets, if necessary)
You can copy and paste this form in to an e-mail or print it out and mail it or bring it to the main office.