...journey with us!
Inquiring/Prospective Parents
I
f you have read through the general information,
please fill this form out about your family & preschool-aged child(ren). (
*
) are required.
*
Indicates required field
1. Parent Name
*
First
Last
2. Parent Name
*
First
Last
Parent Marital Status (Select One)
*
Married
Seperated
Divorced
Single Parent
Email
*
Confirm Email
*
Phone Number
*
1. Child’s Name
*
First
Last
Age (Select One)
*
-
Almost 2
3
2
4
5
6
Date of Birth
*
Format: 00-00-00 This helps assist us with which school may be appropriate.
Academics: Please select all that apply
*
None of the below
Knows colors
Knows shapes
Knows ABC song
Can "identify" 75%-100% of letters *This is different from ABC song!
Can read two-three letter sight words
Can read simple sentences
Can count 1-10
Can count 1-20 (skipping some numbers is expected)
Can count past 20 (skipping some numbers is expected)
Can "identify numbers 1-9 *This is different from counting!
Can "identify" numbers 10+
Has some experience writing - writes name
Has much experience writing - writes full name, letters, numbers, sight-words, etc
2. Child’s Name
*
First
Last
Age (Select One)
*
-
Almost 2
2
3
4
5
6
Date of Birth
*
Format: 00-00-00. This helps assist us with which school may be appropriate.
Academics: Please select all that apply
*
None of the below
Knows colors
Knows shapes
Knows ABC song
Can "Identify" 75%-100% of letter *This is different from ABC song!
Can read two-three letter sight words
Can read simple sentences
Can count 1-10
Can count 1-20 (skipping some numbers is expected)
Can count past 20 (skipping some numbers is expected)
Can "identify" numbers 1-9 *This is different from counting!
Can "identify" numbers 10+
Has some experience writing - writes name
Has some experience writing - writes full name, letters, numbers, sight words, etc.
3. Child’s Name
*
First
Last
Age (Select One)
*
-
Almost 2
2
3
4
5
6
Date of Birth
*
Format: 00-00-00. This helps assist us with which school may be appropriate.
Academics: Choose all that appply
*
None of the below
Knows colors
Knows shapes
Knows ABC song
Can "identify" 75%-100% of letters *This is different from ABC song!
Can read two-three letter sight words
Can read simple sentences
Can count 1-10
Can count 1-20 (skipping some numbers is expected)
Can count past 20 (skipping some numbers is expected)
Can "identify" numbers 1-9 *This is different from counting!
Can "identify" numbers 10+
Has some experience writing - writes name
Has some experience writing - writes full name, letters, numbers, sight words, etc.
Has your child(ren) been in Preschool or Childcare before?
*
Yes
No
Is your child(ren) immunized?
*
Yes
Yes, but on a delayed immunization plan
No
What days of the week are you in need of Preschool? Please Note: Odyssey offers 2, 3, 4 or 5 day/wk.
*
Monday
Tuesday
Wednesday
Thursday
Friday
Are you flexible in regards to these days?
*
Yes
Possibly
No, I need these exact days
Why are you looking for Preschool for your child(ren)?
*
Is there anything special you would like to share about your child(ren) or your family?
*
Have you read the ‘About us’, 'Environments’, ‘Giving Back Program’ tabs of the Odyssey website?
*
Yes
No
Where did you hear about Odyssey Preschool?
*
Church
Co-worker
Craigslist
Facebook Ad
Facebook Page
Friend
Google
Internet (other) - please specify in comments
Lake Oswego Mother's Club
Metro-Parent
Other - please specify in comments
Yelp
Comments
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