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Registration

Register your child

Fill this out to start enrollment and we will follow up to confirm a spot and a start date. Fields left blank can be finished in person. Social Security numbers are stored encrypted.

Child

Home and household

Parents and guardians

The adults responsible for the child. Add one row per guardian.

Stored encrypted. Leave blank to provide it in person.

Emergency contacts

People we may contact if your child is ill and you cannot be reached.

Authorized pickup

People allowed to pick up your child.

Out-of-area contact

An emergency contact who lives outside the area.

Health

Consent

I authorize employees of Children's Corner Preschool and Child Care Center to administer first aid as may be appropriate in their sole discretion, to arrange for transportation, and to give any consent required by the emergency facility or hospital in my stead as parent that may be required in the event my child or children are injured.

As parent or legal guardian, I understand that the above named child will periodically leave the school grounds to participate in field trips and other activities. I give my consent that the above named child may attend and participate in such activities, and I release Children's Corner Preschool and Child Care Center, its officers, employees and volunteers from any and all claims or liability of any nature whatsoever for injuries, accidents or damage of any nature whatsoever sustained by said child while participating in these activities.

I also give my consent to Children's Corner to provide emergency transportation in case of evacuation or relocation.