Please complete the form below to give details about your child so that we get to know them a little before we meet them and so that we can have some favorite and familiar books, songs and games ready for when the school year begins.

Child's Name *
Child's Name
Are your child's immunizations up to date? *
We will require a copy of your child's immunization records two weeks before the session begins.
The name of your child's pediatrician *
The name of your child's pediatrician
Your pediatrician's phone number *
Your pediatrician's phone number
Your pediatrician's address *
Your pediatrician's address
Is your child potty-trained? *
It is not a requirement that your child be potty-trained but it's helpful for us to know how much help your child will need from the assistant teacher.
Permission to assist your child use the bathroom if they need help *
Please indicate below whether our teachers have your permission to help your child when they need to use the bathroom, for example, getting on and off the toilet and help with their clothing.