Pre-Enrollment Form 

*Please pay close attention to items in red.

*Download the form and save it to your computer; then you can type on it, save it again, and print it out.  (*if the form is not saved to the computer before typing on it, it will be sent blank)

*Can be signed digitally or by hand signature.

3 ways to submit:

*You can email the signed, completed form to twheeler1@slpsb.org

*You can bring in the signed, completed form to the St. Landry Parish School Board Office.

*You can attach the signed, completed copy here - Upload Documents Here

*Please Note:  This form will NOT be processed until you come in to meet with Insurance Personnel, even if the form has been submitted digitally.

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