Professional
Before and After School
Child Care

 
 
 
 
 
 

Periodic Review Form

Mt. Lebanon Extended Day Program is required by the DPW to have parents review their important information, at a six-month interval after enrollment. After reviewing your child’s information from your current Registration Schedule Payment Agreement and your Parental Consent & Emergency Contact Form, download the Periodic Review form, complete it and return it to: MLEDP, 250 Mt. Lebanon Blvd., Suite #414, Pittsburgh, PA 15234

Click to Download
(Right Click, Save to Disk)

Periodic Review Form

You will need Adobe Reader for these forms.