Our application form is below.
Please fill out the form.
I hereby authorize the childcare operation to allow my child to leave the childcare operation ONLY with the following persons. Please list name and telephone number for each. Children will be released to a parent or person designated by the parent/guardian after verification of ID.
I understand that the following meals will be served to my child while in care:
In the event I cannot be reached to make arrangements for emergency medical care, I authorize the person in charge to take my child to: