Enrollment Application

Program Information:
Location:
Child’s Information
Parent/Guardian 1 Parent/Guardian 2
Emergency Contact (non-guardian)
• Please note that the enrollment is complete when all required paperwork, documentation, and all applicable fees are received by school director and pre-entry meeting has occurred.
• A non-refundable registration fee of $100 is required to reserve a spot.
Photos: (check one)I DOI DO NOT give my consent to have my child’s picture printed in any publicity photographs, which may be taken while attending The Discovery Years. I understand that such a picture may be published in brochures, newspapers, and our website. I understand that there will be no recompense made to me/us for publication of any pictures used.
For us to apply diaper cream and/or sunscreen that you provide for your child, please initial here
Please sign below and return to the center’s director.
Type Name Here will be considered as a Digital Signature
Download Form