Kidwonder Enrollment Application

Come join the fun!

Fill out the information below and we will be in touch shortly. We are so glad to know that you are interested!

CHILD'S INFORMATION

Child's Name

First Name

Last Name

Child's Date of Birth

YYYY

Child's Gender

Please indicate which program you prefer:

3 Days a Week

5 Days a Week

PARENT 1 INFORMATION

Name

First Name

Last Name

Phone

(###)

###

####

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Occupation & Employer

PARENT 2 INFORMATION

Name

First Name

Last Name

Phone

(###)

###

####

Occupation & Employer

EMERGENCY CONTACT

Name

First Name

Last Name

Phone

(###)

###

####

EMERGENCY CONTACT #2

Name

First Name

Last Name

Phone

(###)

###

####

TELL US MORE ABOUT YOUR CHILD

Allergies and/or Food Restrictions

Medications taken on a regular basis

Members of Household (including siblings)

Pets

What is your child’s nap routine like?

What are your child’s bedtime and waking routines like?

Is your child potty training or potty trained?

Favorite attachment/security item

Is a language other than English spoken in your home? If so, which one and how frequently?

Other preschool/childcare experiences

What would you like us to know about your child?

How did you hear about us?