Parent/Guardian Full Name
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Student's Full Name
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Parent/Guardian Email
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Parent/Guardian Phone
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Student's Current Grade
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K
1
2
3
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5
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7
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School Year Applying For
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Which city does your family live in?
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Has your child had a Psychoeducational Assessment?
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Yes
No
If yes, please submit a copy below.
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JPEG, PNG, PDF, DOC formats up to 20MB
Does your child have an IEP?
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Yes
No
If yes, please submit a copy below.
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What is your child's current diagnosis?
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(select all that apply)
General Weaknesses (no diagnosis)
Learning Disability
ADHD
Anxiety
Other
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Message / Comments
How did you hear about KGMS?
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