Best Friends Preschool

Application Form

Application Form
Child's Name*
First Last
Nickname
Birth Date*
Date Format: MM slash DD slash YYYY
Sex*
- Male
- Female
Which program are you applying for?*
- 1s (Toddler) Discoverer's (12-24 months)
- 2s (Toddler) Imaginators (24-40 months, not toilet trained)
- 3-4s (Preschool) Explorers (36 months, toilet trained-4 years old)
- Pre-K Learners 4-5 years old (not kindergarten)
- Scholars (school age) (5-8 years old)
Child's Schedule*
- Part-time half days (8:30 am-12:30pm)
- Part-time full days
- Full-time
Select number of Part-time days*
- 2 days
- 3 days
Select Part-time days*
- Monday
- Tuesday
- Wednesday
- Thursday
- Friday
Address*
Street Address City State / Province / Region ZIP / Postal Code
Add another child?*
- Yes
- No
Child #2 Information
Child's Name*
First Last
Nickname
Birth Date*
Date Format: MM slash DD slash YYYY
Sex*
- Male
- Female
Which program are you applying for?*
- 1s (Toddler) Discoverer's (12-24 months)
- 2s (Toddler) Imaginators (24-40 months, not toilet trained)
- 3-4s (Preschool) Explorers (36 months, toilet trained-4 years old)
- Pre-K Learners 4-5 years old (not kindergarten)
- Scholars (school age) (5-8 years old)
Child's Schedule*
- Part-time half days (8:30 am-12:30pm)
- Part-time full days
- Full-time
Select number of Part-time days*
- 2 days
- 3 days
Select Part-time days*
- Monday
- Tuesday
- Wednesday
- Thursday
- Friday
Address*
Same as child #1

Street Address City State / Province / Region ZIP / Postal Code
Add another child?*
- Yes
- No
Child #3 Information
Child's Name*
First Last
Nickname
Birth Date*
Date Format: MM slash DD slash YYYY
Sex*
- Male
- Female
Which program are you applying for?*
- 1s (Toddler) Discoverer's (12-24 months)
- 2s (Toddler) Imaginators (24-40 months, not toilet trained)
- 3-4s (Preschool) Explorers (36 months, toilet trained-4 years old)
- Pre-K Learners 4-5 years old (not kindergarten)
- Scholars (school age) (5-8 years old)
Child's Schedule*
- Part-time half days (8:30 am-12:30pm)
- Part-time full days
- Full-time
Select number of Part-time days*
- 2 days
- 3 days
Select Part-time days*
- Monday
- Tuesday
- Wednesday
- Thursday
- Friday
Address*
Same as child #1

Street Address City State / Province / Region ZIP / Postal Code
Parent/Guardian Information
Parent/Guardian #1 Name*
First Last
Relationship with child*
Date of Birth*
Date Format: MM slash DD slash YYYY
Phone*
Address*
Same as child's address

Street Address City State / Province / Region ZIP / Postal Code
Employment*
Business Phone*
Working Hours*
Business Address*
Parent Email*
Last 4 digits of your social security number*
Parent/Guardian #2 Name
First Last
Relationship with child
Date of Birth
Date Format: MM slash DD slash YYYY
Phone
Address
Same as child's address

Street Address City State / Province / Region ZIP / Postal Code
Employment
Business Phone
Working Hours
Business Address
Parent Email
Last 4 digits of your social security number
Others in Household
Name Relationship Age

Click + icon to add more
Parents Marital Status:*
- Together
- Separated
- Divorced
- Widowed
If parents are separated, who has custody?
Upload the copy of court order*
Drop files here or
Child's Physicians Name*
Physicians Phone*
Child's Dentists Name*
Dentists Phone*
Has the child been in daycare before?*
- Yes
- No
How long?*
Where?*
Special Information (Note unique factors such as a long illness, loss of a parent by separation or death, and/or any major tasks a child may have difficulty grasping - if known by our teachers can be handled with consideration and tact, and often help the child in the group. Any special habits, routine, etc.)
Parent information (special interests, occupation, skills, which may be used as a program resource)
Parent Signature*
Date*
Date Format: MM slash DD slash YYYY

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Name	Relationship	Age

Best Friends Preschool

Application Form

Child #2 Information

Child #3 Information

Parent/Guardian Information

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