Early Learning Center Registration List
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.)
Child's Full Name *
Parent/Guardian 1 Name *
Parent/Guardian 2 Name
Child's Date of Birth *
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Home Address *
Contact Phone Number *
Contact Email Address *
Type of Services Needed *
Required
Is your child potty trained? *
Do you qualify for free & reduced lunches? *
Do you qualify for state assistance? *
When would you like them to start? *
Required
Are you a current MVRIII School District Employee? *
Do you live in the MVRIII School District? *
Do you have concerns about your child's development? Please list any concerns here, if you have no concerns, you may leave this section blank.
Screening Date Scheduled
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Submit
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