Child Enrollment Form (Toddler Time & Baby Buddies)
Thank you for your interest of our Toddler Time & Baby Buddies Program at Kreative Kidz NC! We thank you for allowing us to assist in preparing your child, between age 3 months-5 years old, for a more structured environment with committing to a few days a week to receive cognitive, social, & emotional development! Equipping them with the skills necessary to reach new heights!

Let’s commit to developing the Kidz together!

Please complete this information for us to provide an agreement of services to get you started on your child's first initial stay with us!
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Parent Name *
Email *
Address *
Parent Phone number *
Best Method of Contact *
Parent Name
Parent Phone number
Best Method of Contact
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Primary Parent for Communication Purposes (Please list name of person(s).) *
Expected Start Date? *
Desired Attendance Days *
Required
Expected Daily Drop Off Time *
Time
:
Expected Daily Pick Up Time  *
Time
:
Preferred Payment Schedule
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Child's Name *
Child's DOB *
MM
/
DD
/
YYYY
Current Developmental Needs (select all that apply) *
Required
Potty Trained? *
What is your child's current routine? (Please be as detailed as possible) *
If your child is 3mo-12m, what is your child's current feeding routine? *
If your child is 3mo-12m, what is your child's current sleep routine? *
What is your child’s favorite toy or interest? *
Allergies? If yes, please explain. *
Emergency Contact/ Authorized Pick Up Persons (please provide phone number) *
Additional Information
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