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Porter-Leath Preschool Interest Form
Complete the following questionnaire to start the process for the Preschool application. Please only complete one form per child.
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* Indicates required question
Email
*
Your answer
Primary Parent Name
*
Your answer
Primary Phone Number
*
Your answer
Child's Name
*
Your answer
Child's Date of Birth
*
MM
/
DD
/
YYYY
Street Address
*
Your answer
Zip Code
*
Your answer
Best Time of Day to be Contacted
*
Morning
Afternoon
Evening
Required
Is either parent currently employed by Porter-Leath?
*
Yes
No
Do you currently receive DHS Childcare Certificates?
*
Yes
No
I do not currently, but am interested in finding out if I qualify
Please indicate your center of interest:
*
Porter-Leath Early Childhood Center | American Way at 4207 American Way, Memphis 38118
Porter-Leath Early Childhood Academy | Frayser at 3060 Baskin St, Memphis 38127
Porter-Leath Early Childhood Academy | South Memphis at 628 Alice Ave, Memphis 38106
Porter-Leath and University of Memphis Early Childhood Academy | Orange Mound at 2869 Park Ave, Memphis 38114
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