This form may take between 30-45 minutes to complete. Please set aside the full amount of time to complete the enrollment form in one sitting to not risk losing your progress.
Please list any additional emergency contacts authorized to act for the parents / guardians in case of an emergency.
Please list any additional contacts, other than parents/guardians and emergency contacts, authorized to pick-up your child:
Please list all adults living in the child's household(s) and their relationship to the child (parents, grandparents, etc.).
Please list any other children in the family.
Please Understand: Your child will be photographed but images will not be shared publicly without your permission. Our staff will share photos of students (no names) in private social media groups accessed by ELC parents and staff.
Only fill out this section if your child is an infant.
Only fill out this section if your child is eating solid food
Children in the 3 year old and 4 year old class must be fully potty trained.
A $50 non-refundable registration fee must be submitted with this contract.