KidCo Child Info Form

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Please complete a separate form for each child

Child's First and Last Name (and any nicknames) *

What KidCo room will the child attend? *

Nursery (Birth - 18 months)

Toddler (18 months - 3 years)

Preschool (3 years and up, must be potty trained)

My baby will stay with me in the MomCo meeting for now

Mother's First and Last Name *

Mother's cell phone number *

This phone number will be used to contact you during the MomCo meeting, if needed

Please list any allergies your child has, along with any special instructions. *

Is there any more information that would help us care for your child at KidCo? *

Ex: feeding instructions, soothing methods, help needed when using the potty, etc.

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