Enrollment Update Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form.LayoutChild Name:Typical Attendance Hour:Date Of Birth:Child's Age:LayoutEnrollment Date:Drop Date:Parent's Email Address *LayoutParent's Or Guardian's Name:Additional Guardian's Name:Parent/Guardian Cell Phone:Add-Guardian Cell Phone:Parent/Guardian Work Phone:Add-Guardian Work Phone:LayoutCheck Meals Your Child Will be Served DailyBreakfastAM SnacksLunchPM SnacksSupperEvening SnacksCheck Days Your Child Will Be Attending:MondayTuesdayWednesdayThursdayFridaySaturdaySundayLayoutEmergency Contact Name:Emergency Contact Number:| hereby authorize the daycare facility to allow my child to leave the daycare facility ONLY with the following persons. Children will only be released to a parent or a person designated by the parent/guardian after verification of ID. LayoutName:Alternative Name:Telephone Number:Alternate Telephone Number:Any other information that needs to be updated or Food AllergiesSubmit76695
