Please Fill Out the Form to Register Your Child

Please enter YOUR information below

First Name *

Last Name *

Cell Phone *

Email *

Address *

City *

State *

Zip code *

2nd Parent Full Name

2nd Parent Cell Phone

Child's Full Name *

Child's Date of Birth *

Child's Gender *

Male

Female

Child's Allergies *

Notes about child *

Single Line 250xh

Child 1 Photo

In addition to those listed above, the following individuals may pickup my child:

Authorized Adult 1 Full Name

Authorized Adult 1 Phone

Authorized Adult 2 Full Name

Authorized Adult 2 Phone

Authorized Adult 3 Full Name

Authorized Adult 3 Phone

To keep our preschool running smoothly, please agree to all of these policies:

I agree to pay the monthly tuition by the first of each month, as well as the non-refundable registration fee to reserve my child’s place. I understand that tuition for the school year is due one month in advance. Summer camp tuition is due in full by June 1st. Mommy & Me and Caregiver & Me are due on a month-to-month basis.

I understand that this electronic registration form is not the only form I need to complete. A paper registration form needs to be picked up at the school and returned before the first day of classes.

I understand that I will need to provide an up-to-date copy of my child's immunizations to be kept on file at the school if enrolling in the Nursery School or Learning Lab.

I understand that if my child bites or physically harms anyone while at school, they will need to be picked up as soon as possible. A plan will be discussed to help curb the behavior, and the child can return the next school day. If the problem persists, the child may need to be expelled from the program.

I understand that my child must stay home from school if they have a fever of 101. They must be fever-free WITHOUT medication for 24 hours before they can return to school. I agree to inform the school immediately if my child is diagnosed with a contagious illness. This will allow the school to send out a health alert to families so that the parents can monitor for symptoms. The identity of the sick child will remain anonymous.

I have read and agree to abide by the Policies.

Parent Agreement *

I agree to all of the policies listed on this form.

Parent Signature

Clear

Date Signed

SMS Terms of Service