Parents As Teachers Information / Enrollment Request - Dallas, Madison, Warren, Marion, and Jasper Counties, Iowa

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Parents As Teachers Information / Enrollment Request - Dallas, Madison, Warren, Marion, and Jasper Counties, Iowa

Please use this form to submit information to our program. We will be use this information to reach out to you soon.

PLEASE NOTE: We currently have a WAITING LIST in Dallas and Warren Counties. You can still complete this form, and you will be contacted to confirm that you have been added to our waiting list.

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Are you: *

A parent: I am asking for information about Parents As Teachers (PAT) for my family

A community partner: I am referring a family to PAT

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