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Wee Care Daycare

Child History Form
Child Care Enrollment Application

Feel free to printout a pdf version of our application form to fill out if you do not wish to use the online form.

 

 

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Register now - Hold your spot and avoid the waiting list!register now!
 
Registering your child for programs at Wee Care Day Care and Learning Centre can be completed online or in person. Please feel free to call us directly at the local facility of your choice to answer any questions that you may have during the registration process or contact us to schedule a tour.

Child Care Enrollment Application:

Section 01: General Information

Location you are interested
in:

Start Date:

Child's Date of Birth:

Name of Child:

Name of Parent(s)
or Guardian(s):

Home Address:

City:

State:

Zip Code:

Home Phone:

Work Phone:

Emergency Phone:

Type of Family:

2 Parent      1 Parent      Guardian

Section 02: Parent(s) or Guardian(s) Information

Father's Name:

Date of Birth:

Occupation:

Place of Employment:

Address:

Phone Number:


Mother's Name:

Date of Birth:

Occupation:

Place of Employment:

Address:

Phone Number:


Legal Guardian's Name:

Date of Birth:

Occupation:

Place of Employment:

Address:

Phone Number:

Section 03: Please list the names of those living with your child

Number of Brothers:

Number of Sisters:


First/Last Name:

Relationship:

Age:


First/Last Name:

Relationship:

Age:


First/Last Name:

Relationship:

Age:


First/Last Name:

Relationship:

Age:


First/Last Name:

Relationship:

Age:

   
Section 04: Pick-up Policy

 

The safety of your children is our most important responsibility. We must have a list of anyone that may be picking up your child(ren). If there are any changes to this list, you must inform the staff when you are dropping off your child(ren) for the day. If there is a permanent change to the listed individuals, you must complete a new "Pick-up Policy" form. A child will not be permitted to leave with anyone other than those listed on this Enrollment Application unless we have your signature on a written authorization. Please inform the people that you have listed on this Enrollment Application that the staff will be asking for proper identification before allowing any child to leave the center. A completed Enrollment Application must be on file for each child that you have enrolled in the center.

Name of Child:


First/Last Name:

Relationship:


First/Last Name:

Relationship:


First/Last Name:

Relationship:


First/Last Name:

Relationship:


First/Last Name:

Relationship:


First/Last Name:

Relationship:


First/Last Name:

Relationship:

   

 

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