Logan-Rogersville Parents as Teachers Preschool Screening
Event Date: Tuesday, April 9, Wednesday, April 10, Thursday, April 11
Logan-Rogersville Middle School FEMA Safe Room

Contact: Marianne Piccola, (417) 753-2891 Ext. 1

Email address *
Child's First Name *
Your answer
Child's Last Name *
Your answer
Child's Date of Birth *
MM
/
DD
/
YYYY
Gender *
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 storm shelter 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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