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
Child's First Name
Child's Last Name
Child's Date of Birth
How did you hear about the screening?
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
Logan-Rogersville Middle School FEMA Safe Room located behind the middle school.
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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This form was created inside of Logan Rogersville Schools.