Child and Student Education Referral Form Child and Student Education Referral Form

WRESA Online Referral Form

Child / Student Referral Information


 

Child/Student Information

We cannot use P.O. Box numbers

 

Birth Details

 

 


Child / Student Developmental Concerns


 

 


Parent / Guardian Information


Parent Address Information

 

 


Who is helping parent complete this request?


 

 


Additional Information


For questions call (734) 334-1393. This form is intended for children attending Wayne County schools or living in Wayne County ONLY.

You should receive an email confirmation within two business days from adamss@resa.net

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