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Are you a current resident of the Lee's Summit R7 School District? *
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Will you be a resident of the Lee's Summit R7 School District by July 2024? *
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Click Below on the Boundary Tool to Verify
Boundary Tool
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Child's Gender at Birth *
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Child's Preferred Gender
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Child's Ethnicity
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Is your child a twin, triplet, etc? *
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Reason for Application Completion *
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Does your child currently have an IEP? *
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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. *
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Do you have additional concerns about your child's development? *
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Has your child participated in the federally funded Early Head Start or Head Start program in the last 2 years? *
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Parent/Guardian 1 Relationship to Child *
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Do you require oral and/or written communication in a language other than English? *
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Primary Parent/Guardian 2 Relationship to Child
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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.
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