Contact Us Form
Interest in Parents as Teachers at Highland Elem.
Please fill out this form and submit. We will get back to you as soon as possible. PAT runs with the school year currently.
Parent/Guardian Name *
Your answer
Address *
Your answer
City *
Your answer
Contact Number *
Your answer
Child's Full Name (first and last) *
Your answer
Child's DOB *
MM
/
DD
/
YYYY
Gender *
Best time of day to visit. *
Your answer
Have you previously been enrolled in Parents As Teachers? *
Please provide the same information for any children under the age of five.
Your answer
Submit
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This form was created inside of Lewis County C-1 School District.