Registration form

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Registration Form

Registration Form

  • Contact Information

  • Mother's Information

  • Mother's Employer

  • Father's Information

  • Father's Employer

  • Fill out only if applicable

  • Primary Emergency Contact

  • Secondary Emergency Contact

  • Person(s) authorized to pick up my child (Besides parents/guardians or emergency contacts)

  • Daycare references

  • Consent to Emergency First Aid & Transportation

  • Consent to Medical Care & Treatment

  • Consent to Photograph

  • Creative All Stars Childcare will not be responsible for paying for my child's healthcare

  • Creative All Stars Childcare will not be responsible for paying for my child's healthcare

  • For Out of School Care

  • Agreement

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