Enrollment Form - Googols Of Learning Child Development Center Page 2
Download a blank fillable Enrollment Form - Googols Of Learning Child Development Center in PDF format just by clicking the "DOWNLOAD PDF" button.
Open the file in any PDF-viewing software. Adobe Reader or any alternative for Windows or MacOS are required to access and complete fillable content.
Complete Enrollment Form - Googols Of Learning Child Development Center with your personal data - all interactive fields are highlighted in places where you should type, access drop-down lists or select multiple-choice options.
Some fillable PDF-files have the option of saving the completed form that contains your own data for later use or sending it out straight away.
ADVERTISEMENT
1
2Please list any allergies that your child has:
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
Please list any special toys or items your child uses for comfort:
______________________________________________________________________________________
What have you found to be the most effective ways to soothe your child’s crying?
______________________________________________________________________________________
What are your child’s usual naptimes, and how long do they usually last?
______________________________________________________________________________________
Does your child regularly take any medications? ____________ If so, please describe: (medication forms must
be on file__________________________________________________________________________________
In what ways has your child been exposed to other children?
__________ church nursery
__________ other childcare setting
_________ cousins/relatives
Name and Location of previous school or childcare center__________________________________________
Describe your child’s overall health: ________________________________________________________
Hospital you would want your child transported to in case of an emergency _____________________________
Primary Health Insurance Carrier _______________Group/Policy # ___________________________________
Names of siblings and their ages:
__________________________________________________________________________________________
__________________________________________________________________________________________
If there is anything else you would like us to know, please write that information on the space provided or feel
free to schedule a time to discuss this information with our program director.
__________________________________________________________________________________________
__________________________________________________________________________________________
Days of the week and hours that your child will need care:
__________________________________________________________________________________________
Enrollment will begin on: __________________________ Ended on: _________________________________
How did you hear about us? TV_____, Drove By_____, Friend_____, Facebook______, Phone Book______,
Print Ad_____, Web Directory, like Google or Yahoo_____, Other____________________________________
I attest my child will be at least 1 year old before starting his/her first day of enrolled care.
Parent’s Signature________________________________________ Date ________________________
Program Director’s Signature________________________________ Date ________________________
Googols of Learning enrolls children without regard to race, color, religion, sex, national origin or other protected areas.
Googols of Learning is an equal opportunity employer.
ADVERTISEMENT
0 votes
Related Articles
Related forms
Child And Adult Care Food Program (cacfp) Participant Enrollment Form - U Matter Learning Center 403
Education
Form Hud-40105 - Instructions For The Property Completion Form - Dept Of Housing & Urban Development
Legal
Direct Deposit Enrollment Form - Office Of Child Support Enforcement (ocse) Of State Of Arkansas
Legal
Dd Form 2605 - Department Of Defense Child Development Program Annual Summary Of Operations
Business
Related Categories
Parent category: Education