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LENA Start Caregiver Interest Form
Please fill out the information below
This form requires Javascript to be enabled for submission and authorization.
*
Required
Primary Caregiver Information
First Name
*
required
Last Name
*
required
Phone Number
*
required
Email Address
*
required
Home Address
*
required
**Please include city and zip code as well
Secondary Caregiver Information (If applicable)
First Name
Last Name
Phone Number
Email Address
Information for the child that will be participating in LENA Start
*All participating children MUST be under 3 years of age*
Child's Name
*
required
*Please include first and last name
Child's Date of Birth
*
required
How can we help you today?
*
required
I would like to register for LENA Start now!
I would like to be contacted by Mesquite ISD to learn more about LENA Start.
If you're ready to sign up for LENA Start today, which session works best for your schedule?
Tuesdays beginning March 2, 3:30-4:00 PM
Thursdays beginning March 4, 4:30-5:00 PM
**Please note that all spring groups will be offered via Zoom**
Thank you for your interest in LENA Start! Someone from our team will follow up with you this week.
If you have any further questions, please email Lindsay Paris at LParis@mesquiteisd.org or call 972-882-5277
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