Application for Enrollment

In order to be accepted into our program, please complete our online Application.

Application for Enrollment

Instructions:  There are 3 sections

Children:

  • Enter your child’s name, birth date, allergies, medical conditions.
  • Upload a picture if you’d like
  • Answer the questions and click “Add Another Child”  if you have more than one child enrolling or “Next Step”

Guardians: Parents are Guardians!!  Please enter information for both parents/guardians.  We need:

  • Name, address, cell phone, workplace, work phone & email address
  • IMPORTANT:  Click “Add Another Guardian” to enter the other parent’s information.  We need both parents in our system in order to allow both parents to pick up or drop off your child.  Then click “Next Step”.

General Information:

  • Enter your child’s physician/pediatrician office & phone number