Mighty Bambinis Prospective Family
Mighty Bambinis admits students of any race, color, national origin, and ethnic origin to all the rights, privileges, programs, and activities generally accorded or made available to students. It does not discriminate on the basis of race, color, national origin, and ethnic origin in the administration of educational policies, admission policies, scholarship and loan programs, and athletic and other administered programs.
Sign in to Google to save your progress. Learn more
Parent 1: Name *
Parent 1: Email
Parent 1: Employer / Occupation
Parent 1: Phone
Parent 2: Name
Parent 2: Phone
Parent 2: Email
Parent 2: Employer / Occupation
Address
Child Name:
Child Date of Birth:
MM
/
DD
/
YYYY
Gender
Clear selection
Age at Start (desired) of Care:
Desired Start Date of Care:
MM
/
DD
/
YYYY
Probable End Date of Care:
Most kids stay with us until Kindergarten entry, but if you have another date in mind do let us know. 
If answered "other" or 2. Transitional Kindergarten entry, please note likely end date and program to attend
Is your child potty trained?
Clear selection
Which Program are you applying
Clear selection
Morning Program options *
Required
Aftercare available 1-3pm M-F 
There is no nap in aftercare. Children must have the stamina to play outside from 9-3pm. Please indicate which days are needed/preferred. 
Clear selection
Year-round Program Days of the Week
Summer Program (only 10 consecutive weeks available)
We prefer 5 days per week for summer only children for the full summer. We accept children 4 years old to rising First Graders for summer session. If your child has been in school and is 3y9m+ we ma be able to enroll them. Please indicate your preference if you 
What is your ideal schedule? Are you flexible?
Where does your child currently attend childcare? How long? Or describe their current childcare if not in school. 
Check all that appy
If you are changing programs, please describe reason.
What are you excited about at Mighty Bambinis/forest preschool? 
What three words describe your child?
Describe your child's experiences in social situations with peers 2-6 years old
Describe your child's recent reactions when in a new childcare situation with a new caregiver or environment such as a gym drop in childcare, with a new sitter/friend, etc
How do you handle behavioral concerns/situations at home?
Any allergies, health/developmental concerns or behavioral needs?
We have found it is very important that children come back when called since we have an open-ended school space. How do you think your child will do with this expectation by the time they enroll?
Please share any health, allergy, social emotional needs your child has.
Do you have any concerns about Mighty Bambinis meeting your needs?
How did you hear about us?
Have you attended or plan to attend an Open House?
Clear selection
Have you submitted your application fee? *
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy
Google Forms