PUPS Infant/Toddler Room 2018-2019
PUPS will be offered on Mondays, Wednesdays and Fridays from 10-25 a.m.-11:50 a.m. Children in the Infant/Toddler room are between the ages of 6 weeks- 2 years old. Families may participate on one, two or three days. The non-refundable enrollment fee is $60.00 per day, per family. If you are interested in enrolling your child in the PUPS Program, please fill out this form.

Enrollment is filled on a first come, first serve basis. If registration is filled on your desired day, you will be placed on a waiting list if future openings occur.

Please note, parents of children 0-2, must remain in the building during the PUPS program. Questions may be directed to Mrs. Nelson, PUPS Coordinator, at nelsona@fenton100.org

Email address *
Child's First and Last Name *
Your answer
Child's Nickname/Name you would prefer to use in class
Your answer
Parent's First and Last Name *
Your answer
Child's birth date *
Your answer
Address *
Your answer
Primary Contact Email Address *
Your answer
Primary Contact Phone Number *
Your answer
Who will be attending the parent group? Please add parent(s), family members, friends, etc. who might be bringing the child. Example: Maria Sanchez, mother *
Your answer
Mother's Name *
Your answer
Mother's Work Contact
Your answer
Mother's Occupation
Your answer
Father's Name *
Your answer
Father's Work Contact
Your answer
Father's Occupation
Your answer
Do both parents live in the home?
List any other children in the home and their ages. Example: Nicholas, brother, age 7
Your answer
What is the primary language spoken at home?
Your answer
Special information the teacher needs to be aware of (example, medical issues, food allergies, unusual fears or experiences, etc.)
Your answer
Any concerns regarding your child's participation in PUPS? *
Your answer
Three things you should know about my child are... *
Your answer
What day(s) would you like your child to be enrolled in? *
Required
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