Date of Birth (for planning developmentally appropriate activities *
MM
/
DD
/
YYYY
Emergency Contact phone number (just in case we need to call you during playschool) *
Your answer
Parent's Email Address (used to share various pictures of the activities the child participates in) *
Your answer
Is there any previous medical history that would affect your child’s participation in activities? Explain. *
Your answer
Does your child have any allergies? (FOOD) If so, to what? If yes add item below *
Your answer
We know some parents can't make it every day---but if you can come even 1 or 2 days a week we would love it! Click the days you will be able to attend *
Required
Any other information you want to share? *
Your answer
A copy of your responses will be emailed to the address you provided.