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The Team's Enrollment Form
Please provide your contact details below so we can get in touch regarding your booking.
Parent/Guardian Name
*
Email Address
*
Phone Number
*
Address
*
Child Information
Child's Name
*
Nickname
Child's Age
*
Would you like to enroll another child?
*
A
Yes
B
No
Booking Requirements
Type of Care Needed
*
Evening Care
Overnight Care
Weekend Care
*
Health & Safety Information
Known Allergies or Medical Conditions
*
Emergency Contact Name & Phone
*
Additional Details
Challenges for Child(ren)
*
Preferred Snacks & Dietary Restrictions
*
Transition Supports
*
Authorized Pickup Persons
*
Parent Acknowledgement
*
I acknowledge and agree to the company policies
Submit
