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CARE TO LEARN PRESCHOOL REGISTRATION FORM

Registration form must be completely filled out
Child Information
Gender:   *
Child is potty trained *
Parents and/or Guardians
Parent 1
Parents and/or Guardians: *
Parent 2
Parents and/or Guardians:
Child Resides With: *
3. Emergency Contacts

(Persons listed have parent's consent to pick up child in case of emergency or when parent cannot)

***MUST NOT BE PARENT***
4. Child Health Information
Does your child have any diagnosed allergies (by medical physician)? *
Does your child have any food intolerances, sensitivites, or items that should be avoided? *
Does your child have any health concerns or take regular medication? *
Are your Child's Immunizations up to date? *
Parent Handbook and Signature

I hereby declare that the information I have provided is correct, that I have read and understand the Care To learn Preschool Parent Handbook, agree to pay all registration fees and to follow the stated guidelines and policies. I understand that this registration is not considered valid unless payment, via School Cash Online, is received within 48 hours.

I hereby declare that I have read and understand the refund policy in the Care to learn Preschool Parent Handbook and understand fees are based on a yearly program, with February 1st being the start of the second half of the year. Any request for refund made prior to February 1st will be entitled to be refunded fees for the 2nd half of the year only. Requests for refunds made after February 1st will be denied. I also understand the $255.00 or $510.00 deposit and the $37.50 registration fee is non-refundable once paid.

School

Please select 1st and 2nd choice for classes at desired location. You will be notified the first week of September which class you child will be registered in. **Classes dates and times are subject to change** Program start date: September 18th, 2017.