We are temporarily unable to process online enrollments at this time.

Please call 214-3955 and we will be happy to take
your enrollment over the phone.

Parents As Teachers

Enrollment

Eligible families must reside in the Columbia Public School District!

Home

Please provide the following contact information:

First Name
Last Name
Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
Country
Work Phone
Home Phone
E-mail

Today's Date:

-- mm/dd/yy

Single Parent?

Yes No

Child's Name:

First Name
Last Name
Date of Birth

Child's Name:

First Name
Last Name
Date of Birth

Where did you hear about Parents as Teachers?


Best times to schedule personal visits:

8:00-4:00   After 4:00

 

Send mail to jborisen@columbia.k12.mo.us with questions or comments about this web site.
Last modified: 05/03/05