Enrollment Application

safe n sound playground

Preschool & daycare

Start Date Needed:

Email: *

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Enrollment:

Full-Time (M-F)

Part Time (3 Set Days/Week)

Due Date/Date of Birth: *

Is your child up to date on immunizations? (We are a fully immunized center, so we cannot take exemptions) *

Yes

Any additional information that would be helpful in the care of your child:

Describe your child’s prior experience in a childcare setting:

For children 2 and older: Is your child potty trained? If not, are you working on it at home & are they in diapers, pullups, or underwear?

Parent(s) Full Name: *

We are excited that you are interested in our center! Please fill out this form and send it back to be placed on the waitlist. Once we receive the completed form, we will put you on the waitlist and review our enrollment openings. When there is an opening in your child’s age group, we will contact you to schedule a tour of the center and give you an enrollment packet. Thank you!

Is there anything in the child’s personal life or home environment that would affect their enrollment at our facility (custody, living situation, visitations, etc.):

Child's Name (First and Last): *

Preferred Contact Number:

If Part-time, what days will your child attend?

Describe any physical, developmental or behavioral concerns you or your child’s pediatrician might have (Our classrooms are large, so some children with behavior difficulties do not adjust well & we would recommend a center with smaller classrooms):