Neosho Parents as Teachers Enrollment Form

Parents as Teachers is a FREE program offered by the Neosho School District and it is open to all families with children from birth to kindergarten entry. We also do prenatal visits. 

We'll help you learn what to expect from your child at each stage of development, as well as provide you with activities to help you get them ready for school. What you'll get when you become a part of Neosho Parents as Teachers:

  • Monthly or bi-monthly visits that fit your schedule (we do evening and weekends). Ideally visits will take place at your home, but we can also meet at the Parents as Teachers office, the park, the library, or wherever you feel the most comfortable.
  • Yearly developmental screenings for your child to make sure they are on track for hitting those developmental milestones! 
  • Group connections and playgroups where your child can have fun and make new friends. Maybe mom and dad can make new friends too!
  • A free book at every visit. We want to everyone to know how important it is to make book sharing a part of their child's daily routine.

If you have any questions about this enrollment form, please contact PAT Coordinator Jessica Shank, at 417-451-8632 or email shankjessica@neoshosd.org.

Sign in to Google to save your progress. Learn more
Parent/Guardian's Name: *
Address:  *
Telephone Number (please include area code): *
Do you prefer a phone call or text? *
Email address
Do you have any concerns with your child(ren)'s development?
Child's Name *
Child's Date of Birth *
MM
/
DD
/
YYYY
Second Child's Name
Second Child's Date of Birth
MM
/
DD
/
YYYY
Third Child's Name
Third Child's Date of Birth
MM
/
DD
/
YYYY
What would be the best time of day for visits? *
Required
How did you hear about Neosho Parents as Teachers? *
Required
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Neosho School District. Report Abuse
Google Forms