On your computer, please download the Child Information form below and then upload it to Enrollsy once it is filled out. 

Please read the following important tips:

*Date of Admission: Please add the date of their first day where it says “For Provider Use Only.”

*Please add information for both parent/guardians (if applicable). 

*Every box is required to be filled in, including employer name and number.

*If there are no allergies, please check off the second square on the right that says “no” (_yes x no).

*Emergency Contact & Release of Child: Please specify the relationship to your child. Example: Mandy Smith (Nanny) or Richard Jones (Grandpa).

*In the section asking about giving Canterbury Creek permission to seek emergency care, please add your initials on the left.

*Please sign and add the date at the bottom. Thank you!