Preschool Interest Form

The information you provide is confidential and will be treated accordingly.

By filling out this form, you consent to receive services from Mountain Resource Center and forever discharge the Mountain Resource Center from all liability for any injury or loss caused by participation in these services.

Primary Contact Information
This is the guardian that you want MRC to contact with communication regarding this preschool application.







Student's Information
This is the perspective student's information for the preschool application. Please fill this form out again for more than one child.










Household Information










Additional Family Members
Please enter all additional family members here.









Often True Sometimes True Never True Prefer Not To Answer
Yes No Not Applicable

Contact Information