St Michael's Country Day School | Student Visit Form

Student Information

First Visit Date*

Student Name*

First Last

Date of Birth*

Age, as of today*

Sibling(s), age

Currently enrolled in School? If yes, where?*

Parent/Guardian Name*

First Last

Phone*

Email

Epi Pen

If yes, we will need to set up a call with the school nurse in advance of the visit date.

Allergies

PreSchool, PreK, Kindergarten

What toys or activities does your child enjoy?

Please list the most effective methods to ease anxiety, soothe, comfort your child.

Please indicate how strong a reader you child is:

Books your child is currently reading.

Please indicate your child's progress in math.

Any comments about your child's feelings about math.

Are there any educational accommodations needed for your child?

Any other information that we may find helpful?