LSR7 General Education Pre-K Early Learning Application

This form must be completed by Friday, 3/7/25 in order to be considered in the lottery for fall 25/26 enrollment.

If your student is selected, you will need to provide a proof of age document and proof of residency documentation during our annual registration in July/August.

If your child attends school at Great Beginnings Legacy or Paradise Park, your child's spot will remain secured at GBEEC.

You will be contacted via email by the office of the Pre-K Program Director by Monday, 3/24/25 to confirm acceptance or denial into the Pre-K Program.

Are you a current resident of the Lee's Summit R7 School District?

Are you a current resident of the Lee's Summit R7 School District? Yes No
Will you be a resident of the Lee's Summit R7 School District by July 2025?

Will you be a resident of the Lee's Summit R7 School District by July 2025? Yes No
Click Below on the Boundary Tool to Verify

Boundary Tool
Child's Name Child's Name First Last
Child's Date of Birth
(Must be 4 years old by 7/31/2025) Child's Date of Birth
(Must be 4 years old by 7/31/2025) / MM / DD YYYY
Child's Gender at Birth

Child's Gender at Birth Male Female
Child's Preferred Gender

Child's Preferred Gender Male Female Non-Binary Prefer Not to Report
Ethnicity

Ethnicity African American American Indian or Alaskan Native Asian Hispanic Multi-Racial Pacific Islander or Hawaiian Native White
Is your child a twin, triplet, etc?

Is your child a twin, triplet, etc? Yes No
Reason for Application Completion

Reason for Application Completion I am interested in free Full-Day Pre-K (Must qualify for Free/Reduced for the 25-26 School Year. See Chart Below as a reference.)
Do you qualify for financial assistance through any of the following programs (child care subsidy, free/reduced school meals [reference chart above], Medicaid, SNAP, TANF, or WIC)?

Do you qualify for financial assistance through any of the following programs (child care subsidy, free/reduced school meals [reference chart above], Medicaid, SNAP, TANF, or WIC)? Yes No
Does your child currently attend Great Beginnings Paradise Park or Great Beginnings Legacy Park? If yes, which location?

Does your child currently attend Great Beginnings Paradise Park or Great Beginnings Legacy Park? If yes, which location? Yes No
If yes, which location?

If yes, which location? Legacy Park Paradise Park
If yes, do you want your child to continue at Great Beginnings and split their day between GBEEC and Pre-K?

If yes, do you want your child to continue at Great Beginnings and split their day between GBEEC and Pre-K? Yes No
Does your child currently have an IEP?

Does your child currently have an IEP? Yes No
What school district is your child's IEP currently with? If LSR7, your child will continue to go to Great Beginnings Legacy or Paradise Park.
Does your child currently receive speech/language, PT, OT, or ABA services from an agency outside of LSR7 Schools? This may include but is not limited to Children's Mercy, St. Luke's, Lee's Summit Hospital, and/or a private therapist.

Does your child currently receive speech/language, PT, OT, or ABA services from an agency outside of LSR7 Schools? This may include but is not limited to Children's Mercy, St. Luke's, Lee's Summit Hospital, and/or a private therapist. Yes No
If yes, please tell us about the services they receive.
Do you have additional concerns about your child's development?

Do you have additional concerns about your child's development? Yes No
Please tell us about your concerns.
Has your child participated in the federally funded Early Head Start or Head Start program in the last 2 years?

Has your child participated in the federally funded Early Head Start or Head Start program in the last 2 years? Yes No
What was the name of the Head Start program your child attended?
What is your child's primary language?
What language(s) are regularly spoken around your child at home?
Is this your first student to attend LSR7 Schools?

Is this your first student to attend LSR7 Schools? Yes No
Do you participate in the LSR7 Parents as Teachers Program

Do you participate in the LSR7 Parents as Teachers Program Yes No
If no, would you like more information on that program?

If no, would you like more information on that program? Yes No
Has your child ever had a developmental screening (DIAL-4)?

Has your child ever had a developmental screening (DIAL-4)? Yes No
If yes, was it with LSR7 Parents as Teachers?

If yes, was it with LSR7 Parents as Teachers? Yes No
LSR7 offers screenings to children over the age of 3 who are not yet eligible for Kindergarten (DIAL-4 Developmental Screening). This screening assesses skills in the areas of cognitive, language, motor, social-emotional, and self-help. We encourage all of our Pre-K families to take advantage of this free resource. Does your family need information about LSR7's screenings?

LSR7 offers screenings to children over the age of 3 who are not yet eligible for Kindergarten (DIAL-4 Developmental Screening). This screening assesses skills in the areas of cognitive, language, motor, social-emotional, and self-help. We encourage all of our Pre-K families to take advantage of this free resource. Does your family need information about LSR7's screenings? Yes No
Parent/Guardian 1 Name Parent/Guardian 1 Name First Last
Parent/Guardian 1 Email
Parent/Guardian 1 Phone Number Parent/Guardian 1 Phone Number - ### - ### ####
Parent/Guardian 1 Relationship to Child

Parent/Guardian 1 Relationship to Child Mother Father Stepmother Stepfather Grandmother Grandfather Aunt Uncle Foster Parent Sibling Other
If other, please specify.
Parent/Guardian 1 Address Parent/Guardian 1 Address
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
If English is not your primary language, please indicate language below.
Do you require oral and/or written communication in a language other than English?

Do you require oral and/or written communication in a language other than English? Yes No
Parent/Guardian 2 Name Parent/Guardian 2 Name First Last
Parent/Guardian 2 Email
Parent/Guardian 2 Phone Number Parent/Guardian 2 Phone Number - ### - ### ####
Primary Parent/Guardian 2 Relationship to Child

Primary Parent/Guardian 2 Relationship to Child Mother Father Stepmother Stepfather Grandmother Grandfather Aunt Uncle Foster Parent Sibling Other
If other, please specify.
Parent/Guardian 2 Primary Language
By clicking on the box below, I give permission for my child to be screened in the following developmental areas: speech, language, concepts, gross motor, fine motor, social-emotional, self-help, health, hearing, and vision.

Development information derived from the screening will be maintained on each individual child. This information will become part of the child's permanent record within LSR7 Schools and will be sent to the school they attend when entering Kindergarten. The screening procedure will be treated confidentially and will not be released without my written permission to any other agency.

By clicking on the box below, I give permission for my child to be screened in the following developmental areas: speech, language, concepts, gross motor, fine motor, social-emotional, self-help, health, hearing, and vision.

Development information derived from the screening will be maintained on each individual child. This information will become part of the child's permanent record within LSR7 Schools and will be sent to the school they attend when entering Kindergarten. The screening procedure will be treated confidentially and will not be released without my written permission to any other agency. I Agree

LSR7 General Education Pre-K Early Learning Application

LSR7 General Education Pre-K Early Learning Application

Click Below on the Boundary Tool to Verify