Little Steps Registration
What School will your child attending when in Kindergarten? *
Parent / Guardian First Name *
Parent / Guardian Last Name *
Mailing Address *
Home Phone Number
Cell Phone Number
Email Address
Name of Child *
Date of Birth *
Name(s) of older siblings
Sibling's school name
We may be taking photographs and/or videos of the Little Steps program for use as a training tool for other educators. If you do NOT want your child's image used in this way please check the box below.
Clear selection
Number of siblings requiring child care during Little Steps
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