CONFIRMATION OF TOILET TRAINING FORM
Approved 2/12/25
I am the parent of ___________________________________________________________________(name of prospective kindergarten student). I understand that toilet training (as defined below) is a precondition for my child to be enrolled in kindergarten unless my child’s delay in toileting is a result of a condition addressed in an Individualized Education Program (IEP) or a Section 504 Plan.
“Toilet trained” means that a child can do all of the following:
- Communicate the need to use the bathroom to an adult;
- Sit down on a toilet;
- Use the toilet without assistance;
- Undress and dress as necessary;
- Tend to personal hygienic needs after toileting; and
- If an accident occurs, independently tend to hygienic needs and change clothes
Select one of the following:
______I confirm that my child is toilet trained, as that is defined above.
______ I confirm that my child is not toilet trained, as that is defined above, but this is because of a condition that is addressed in an existing IEP or Section 504 Plan for my child.
______ I confirm that my child is not toilet trained, as that is defined above, but I believe this is or may be because of a disability of some kind and I would like the District to evaluate whether an IEP or Section 504 Plan may be appropriate.
I declare under criminal penalty under the law of Utah that the foregoing is true and correct.
Signed on the ________ day of____________ , _______________ at_____________________
(Day) (Month) (Year) (city and state or country)
Printed Name__________________________________________________________________
Signature_______________________________________________________________________
