* = Required Information
Child lives with
In the event we cannot reach either parent, we required a third person emergency contact:
Relationship to Child
Name of Hospital Preferred
Authorization of emergency medical care in the event of serious illness or accident if parents cannot be reached
Parents Statement: Special information relating to food, medication, toilet training, sleep requirements and/or emotional needs
I agree to comply with the rules and regulations of The Learning Tree Preschool regarding fees, attendance, illness policies and other items specified in the policies issued by the school year. I am aware of the scheduled school holidays and closings. I agree to notify the school two weeks in advance of withdrawal, shoulc such event occur or pay the difference.