Banneker Elementary (USD 500)
913-627-4700
tyrone.bates@kckps.org
2026 N 4th Street
Kansas City, Kansas 66101



(put "0" if not premature)

For ASQ:SE-2™ English

For ASQ-3™ English

I have read the provided information about the Ages & Stages questionnaires, and I wish to have my child participate in the online screening program. I will fill out the questionnaire about my child's development and promptly submit the completed questionnaire through this Family Access online questionnaire completion system.

Note: By clicking "Submit", you are agreeing to both our Family Access End User License Agreement and any other consent or authorization information outlined on this page.