2017-2018 Tiny Tots Registration Packet
Welcome to Kool Kidz Preschool! Registration must be completed before students may attend. This registration is for our toddler class for ages 2-3. Thank you and we look forward to having you child in class!
Email address
Child's Name:
Your answer
Child's Nickname/Goes by:
Your answer
Birthday and Age
Your answer
Gender
Home Address, City, State, Zip Code
Your answer
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
Security
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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