Pre-Enrollment Form 
Email *
Communications to Our Potential Customer:
Gods Little Children on 40th Street welcomes enrollment applications for children ages 12 months through 54 months, as well as school-age children 5 through 8 years old. All submissions are reviewed in the order received and processed within 72 hours. Enrollment is based strictly on current availability and classroom capacity. If a space is not available at the time of review, your child will be placed on our waitlist, and you will be contacted as soon as an opening becomes available.
Student Information

Here is a clean, shortened summary:

We collect basic information to identify your child, contact your family, meet licensing requirements, and ensure we can provide safe, accurate, and well-prepared care from day one.

Name *
Date of Birth *
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DD
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YYYY
Gender *
Date of Pre-Enrollment *
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/
DD
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YYYY
Full Name:
Last, First, Middle, Nickname
 *
Child's Physical Address: *

Primary Days of Care:

*
Required

Primary Start Time

 *
Time
:

Primary End Time

 *
Time
:
What is the last school the child attended? (Name, Address, Phone Number, and Person of Contact) *
Additional Details 
This information helps our team understand how to properly care for your child, plan appropriate activities, and make any accommodations that may be needed. Our goal is to partner with you so your child receives the individual attention, structure, and guidance necessary for a positive and successful experience in our program.
What is the reason for leaving the above school?  Were there any issues that prevented the child from progressing? *
How did you hear about Gods Little Children, and what made you want to join our community? *
Disclosure
Disclosure: Any deliberate misrepresentation or attempt to give inaccurate information will result in forfeiture of admission to Gods Little Children.  By my signature on this document, I verify that all information is true to the best of my knowledge. __________________________
                                                    Signature / Date
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