Kindercare 23/24 registration form

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

In order for your child to attend the Kindercare program, they must attend Kindergarten in the morning. (We will not accept students that are not attending kindergarten.

Ex. Child is sick in the morning; they cannot attend kindercare in the afternoon.

Please fill out form as detailed as you can!

Child's full name *

Name(s) child goes by *

Child's birthdate *

YYYY

Home Address *

Home Phone *

Mother's (Caregiver's) Name/Occupation/Cell number/work number *

Mother's (Caregiver's) email address *most of our communication will be through email* *

Father's (Caregiver's) Name/Occupation/Cell number/work number *

Father's (Caregiver's) email address *most of our communication will be through email* *

Marital Status of Parents *

Please state if there are any custody issues *

What session are you interested in? *

Kindercare 11:45am - 3:15pm $350/month

Before school care (7:30am - 8:40am) + Kindercare (11:45am - 3:15pm) $470/month

Kindercare (11:45am - 3:15pm) + After school care (3:15pm - 6pm) $510

Before school care (7:30am - 8:40am) + Kindercare (11:45am - 3:15pm) + After school care (3:15pm - 6pm) $560/month

Required

Is your child registered for Kindergarten at Queen Elizabeth school? *

yes

What type of activities/toys are of special interest to your child? *

Do you have any other information about your child that the educator(s) should know about? *

Clear form

Never submit passwords through Google Forms.

This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy

Forms