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Preschool Application Appointment Scheduling Form
All appointments will be held at:
the Early Childhood Center, 325 W 400 S, Logan, UT 84321
Parent's Name
*
First Name
Last Name
Student's Name
*
First Name
Last Name
What is the Student's Date of Birth? (The student must be 4 years of age on or before September 1, 2024 to be eligible to apply for the preschool program)
*
-
Month
-
Day
Year
Date
Parent's Phone Number
*
Please enter a valid phone number.
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Email
example@example.com
Appointment
*
Do you need a translator for your appointment?
*
Yes
No
If you need a translator for your appointment, what language is requested?
Please Gather the Following Documents:
I understand that the appointment will be at the Early Childhood Center which is located at: 325 W 400 S in Logan.
*
Yes, I understand
I understand that I must bring my preschool aged child with me to the appointment for an academic screener.
*
Yes, I understand
I understand that if I have questions, concerns, or to cancel/reschedule my appointment I should call the Early Childhood Center at: (435)-755-2395
*
Yes, I understand
Submit
Should be Empty: