Life Early Child Development

Contact Information:

5649 N. Williamsburg Road
Bassfield, MS 39421
(601) 943-5582

About this PreSchool

How To ApplyBelow is a list of fillable forms. Click on the forms below, each form will open in your computer and you can fill out the forms by clicking on the field and typing as you would on a typewriter. Print the completed forms and bring with you to our office. In person, we will review the forms, have you sign them, and make you a copy of the application.If you prefer to fill out the forms in your handwriting, click on each form below, print and fill out each form in ink.Applications Forms (Click to open, type in your info on your computer, print and bring to our office.)Enrollment.pdf Form 1 General Info.pdfForm 2A History.pdfForm 2B History.pdfForm 3 Health Screening.pdfForm 4 Physical Exam.pdfForm 5 Dental Health.pdfSignature.pdfSurvey Page 1.pdf Survey Page 2.pdf

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