Enrollment Form 1Enrollment Application2Parent Information3Emergency Contact4About Your Child Child’s Name(Required) Child’s Birthday(Required) MM slash DD slash YYYY Child's Age(Required) Current Address(Required)Start Date MM slash DD slash YYYY Parent/Guardian’s Name(Required) Parent/Guarding Email(Required) Parent/Guardian Home Phone #Parent/Guardian Work Phone #Parent/Guardian Cellphone #(Required) Emergency Contact Person/Relationship Contact’s PhoneEmergency Contact Person/Relationship Contact’s PhoneEmergency Contact Person/Relationship Contact’s PhoneAre there any siblings? Please name them and specify ages and gender.Child Name AgeGenderGenderGirlBoyChild Name AgeGenderGenderGirlBoyChild Name AgeGenderGenderGirlBoy Has your child ever been in childcare before? What type (center, family daycare, grandma etc.)Are there any food restrictions/allergies?What is your child's favorite food?What food does your child dislike?Can your child be relied upon to indicate bathroom wishes?What words does your child use for “Bowel movements”What words does your child use for “Urination”Has your child had experience playing with other children?What language(s) are spoken at home?Does your child have any security objects such as a blanket, soother, bottle, toy etc.?What are your child's favorite activities, toys, books, or games?Are there any comments or advice you can give us to help your child transition into the school’s environment?Are there any other comments or concerns that you would like us to know about?Parent/Guardian Signature Parent/Guardian Signature
