Early Learning Center Registration

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Please complete this form to be added to the registration list for preschool services. We offer various Tuition and Special Needs services for students ages 3-5. If you have developmental concerns about your child, they can be screened for special services which are available to all residents of Meramec Valley R-III School District. Registration is not a guarantee of enrollment and is based on available openings. Thank you for completing the registration form. We look forward to serving your family.
(Tuition children must be 3 before August 1.)

Do you live in the MVRIII School District? *

Yes

Parent/Guardian 1 Name *

Parent/Guardian 2 Name

Home Address *

Contact Email Address *

Contact Phone Number *

Child's Full Name *

Child's Date of Birth *

年

月

日

Is your child 3 years old or older? (Your child must be 3 years old or older to add to the waitlist.) *

Yes

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