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Logan-Rogersville Parents as Teachers Preschool Screening
CHILD MUST BE 3 BY JULY 31, 2020 TO QUALIFY
Event Date: May 18th, 19th, 20th, & 21st
Logan-Rogersville Middle School FEMA Safe Room
Contact: Marianne Piccola, (417) 753-2891 Ext. 1
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Email
*
Your email
Child's First Name
*
Your answer
Child's Last Name
*
Your answer
Child's Date of Birth
*
MM
/
DD
/
YYYY
Gender
*
Male
Female
Parent/Guardian Name(s)
*
Your answer
Address
*
Your answer
City
*
Your answer
State
Your answer
Zip
Your answer
Phone
*
Your answer
How did you hear about the screening?
Your answer
What Should I Bring on That Day?
1. Birth Certificate
2. Immunization Record
3. Proof of Residency (please bring one of the following): Property tax receipt, utility bill, or housing rental contract/mortgage document
Location:
Logan-Rogersville Middle School FEMA Safe Room located behind the middle school.
Directions:
From highway 125 and US Hwy 60: north on highway 125; right (E) on Farm Rd. 174 (road between middle and high school); left (N) on road directly behind the middle school; follow signs. Please park in the parking lot.
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