Kids’ Laughing & Learning Center

WE MAKE LEARNING FUN!

Enrollment Application

Sex:
Parent’s marital status
  • Days and hours in care:
  • Monday
  • Tuesday
  • Wednesday
  • Thursday
  • Friday
The following person(s) have my permission to pick up my child after verification of ID. Please check those who may be contacted in the event of an emergency, if parents cannot be reached.
(More contacts may be written on the back)
List any special problems that your child may have such as allergies, long-term continuous medication prescribed, existing illness, previous serious illness, injuries, hospitalizations during the past 12 months, physical problems, mental or developmental disabilities, which would limit the child’s participation and any special procedures that are required in caring for your child:
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Authorization for Emergency Medical Attention:

In the event that I cannot be reached, I authorize the management or teachers of Kids’ Laughing & Learning Center to seek medical attention for my child, in the event of an emergency, and to hold harmless and release Kids’ Laughing & Learning Center from all liability. I further agree to keep the facility informed of changes in telephone number, etc., where I can be reached


Parent/Guardian Signature:
Transportation
I do give permission for the following Transportation
Water Activities
Select Water Activities
SCHOOL AGE CHILDREN
Check all that apply:
Parent’s signature:

Student Enrollment Application

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