Enrollment Forms

HLC Enrollment & Medical Forms

Referral
- Preschool Initial Evaluation Process
- HLC Referral for Evaluation Form
  Please complete the referral form if you have concerns about your child’s development. If your child is between the ages of three and five and lives within Marysville Exempted Village School district you would return the completed form to slamendola@ucbdd.org or drop it off at the Harold Lewis Center. If you reside in another school district you would turn it into that district and they would complete the evaluation. Please call 937-645-6714 if you have any questions.
Enrollment
- HLC Release of Information Form
School Year 2022-23
School Year 2023-24

Peer Model Program Guidelines
Please read before completing the Peer Model Intake Form