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BASE DHS Forms

PLEASE DATE THESE FORMS JUNE 1ST OR LATER SO THAT THEY CAN BE USED FOR THE ENTIRE SCHOOL YEAR.

In addition to the registration form, the required forms are:

  • Permission/Release Form
  • Medical Consent
  • Intake
  • Immunizations
  • Enrollment Contract
  • BASE Health Form

 

Lovely Lane Preschool/ BASE
Dawn DuPont
2424 42nd St. NE
Cedar Rapids, IA 52402

(319) 393-8189

Trinity Lane Preschool
Lisa Bach
211 21st Ave SW
Cedar Rapids, IA 52404

(319) 362-2702

Lovely Lane United Methodist Church

Lovely Lane United Methodist Church
2424 42nd St. NE
Cedar Rapids, Iowa 52402
(319) 393-6674

Lovely Lane Preschool/ BASE
2424 42nd St. NE
Cedar Rapids, IA 52402
(319) 393-8189

Trinity Lane Preschool
211 21st Ave SW
Cedar Rapids, IA 52404
(319) 362-2702

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