|
|
 |
Application |  |
 Home Page |
Values/Daily Schedule |
Apply Today |
Parent Handbook |
What we are learning |
Rates |
Our Favorite Links |
Contact Us |
Photoalbum |
If you would like to apply for Basics of Life Christian Child Care or Preschool, You can call us and then fax it to (740) 694-1622 or mail it to: Basics of Life Christian Child Care APPLICATION FOR ADMISSION Basics of Life Christian Child Care is a Christian based child care and pre-school for children of all ages who seek opportunities to learn and grow. Please provide the following contact information: Parent Name(s) _______________________________________________________ Address _____________________________________________________________ City __________________________________State __________ Zip ____________ Email address _______________________________________________________ Telephone numbers (include area code) where you can be reached:
In case of an emergency, and you can not be reached, please provide an additional contact name and phone number _____________________________________________________ What type of care are you interested in? Full Time Part time Preschool onlyWhat days of the week do you require care? Monday Tuesday Wednesday Thursday Friday What times do you require care? Drop off time: _______________ AM / PM What date would you like to start? ____________________________________
Please provide the following information about the child requiring care: First and Last Name: _________________________________ Gender Male Female Birth Date ______________________ Does your child have allergies or other special needs we need to be aware of? Allergies. __________________________________________________________________ __________________________________________________________________ Special Needs: __________________________________________________________________ __________________________________________________________________ Is your child potty trained? Yes No Do you have any other concerns you feel need to be addressed? ____________________________________________ How did you hear about Basic of Life Christian Child Care? ___________________________________ Basics of Life Christian Child Care admits children without regard to race, color, national origin, ancestry, PLEASE SEND COMPLETED APPLICATION TO: Basics of Life Christian Child Care The information collected on this form will only be used to promote your child enrollment and care with Basics of Life Christian Child Care. Copyright 2004 Basics of Life Christian Child Care. All rights reserved. |
|