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2019-2020 Tiny Tots Registration Packet
Welcome to Kool Kidz Preschool! This registration is for our toddler class for ages 2-3. Registration and registration fee must be completed before students may attend. Upon completing registration packet, you can have 2 weeks to pay the registration fee or your child's spot can be given to the next child in line. Thank you and we look forward to having you child in class!
Email address *
Child's Name (First and Last): *
Your answer
Child's Nickname/Goes by:
Your answer
Birthday and Age *
Your answer
Gender *
Home Address, City, State, Zip Code *
Your answer
Which class is your first preference? It does not guarantee you a spot in that class, but we will try to accommodate if there is space available. *
Please help us in our advertising efforts by telling us how you heard about Kool Kidz. Please mark all that apply. *
Parent/Guardian Information
Name *
Your answer
Relationship to child *
Your answer
Home Address (if different from child's), City, State, Zip Code
Your answer
Phone Number (Home) *
Your answer
Phone Number (Cell)
Your answer
Phone Number (work)
Your answer
Email *
Your answer
Marital Status *
Who does the child live with *
Your answer
Second Parent or Guardian
Name
Your answer
Relationship to child
Your answer
Home Address (if different from child's), City, State, Zip Code
Your answer
Phone Number (Home)
Your answer
Phone Number (Cell)
Your answer
Phone Number (work)
Your answer
Email
Your answer
Emergency Contact Information (Adults other than those already listed above.)
Name *
Your answer
Relationship to child *
Your answer
Phone Number *
Your answer
Pick Up Authorizations
Please list the names of persons other than parents/guardians authorized to pick up your child.
Your answer
Please describe any living arrangements, custody issues or court orders we should be aware of or would be helpful to the child's teacher
Your answer
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