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Clever Kiddos Daycare & OSC
AGES: 1 - 12 YEARS
About Us
About
Contact
For Parents
Program
Fees
Enroll
Child Enrollment Form
Estimated time to complete: 10 minutes
Application Date:
Contact Information
Child's Information
Date of Birth
Parent's Information
Mother
Father
Marital Status
Marital Status
Married
Widowed
Separated
Divorced
Single
Family Physician's Information
Emergency Contact Information
Emergency Contact 1
Emergency Contact 2
School Information
Health and Safety
Is your child allergic?
No
Yes
Is your child receiving medication on an ongoing basis?
No
Yes
About the Child
Deeper Questions
Optional Questions
Language Questions
Does your child speak english?
No
Yes
Terms and Services
Understanding of Registration Fees and Policies
I agree to pay a registration fee of $100 and I understand that this is a onetime fee and that it is non refundable.
I have read and understand the policies and the handbook information. I may be asked for input into policies, handbook review, surveys and annual updates of my child's files.
I agree to give one months notice in writing before the first of any given month in case of withdrawal of my child.
I have read the above terms and services and agree with everything that is written.
Yes
Submit