SPS Parents As Teacher Enrollment
This form will be sent to the Parents As Teachers Department.
Residents of the Springfield R-XII School District will be enrolled and assigned to a parent educator.
The Parents As Teachers educator will contact you soon!
Parent(s) or Guardian(s) Name *
Address *
Zip Code *
Phone number *
Email address *
Child #1 Name *
Child #1 Birth date *
MM
/
DD
/
YYYY
Child #2 Name
Child #2 Birth date
MM
/
DD
/
YYYY
Child #3 Name
Child #3 Birth date
MM
/
DD
/
YYYY
Other children (Name, birthdate)
Where did you hear about Parents As Teachers?
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