Child Enrollment – The Preferred Choice

Choosing a childcare center, especially for the first time, is a big step. We are here to help make the process as straightforward as possible.

Important : Prior to completing this form we strongly recommend that all parents and guardians read and familiarize with The Preferred Choice rules and regulations by clicking here (page opens in a new window). You can also download the PDF version of this form here.

This form contains multiple sections. If you need to make a change to a previously entered section, please use the ‘Back’ buttons appear at the bottom of the page. DO NOT use the back button on the browser or the phone to go back to a previous section, as it would cause the entire form to reload.

Child Enrollment

Child’s Details
Mother’s Details
Father’s Details
Living Arrangement and Emergency Contacts
School and Health Information
Parental Agreement with Child Care Facility
Social Media, Website, and Bible Lessons
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Child’s Full Name

Sex

Male

Female

Prefer Not to Disclose

Age

Date of Birth

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Child’s Full Name

Sex

Male

Female

Prefer Not to Disclose

Age

Date of Birth

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Child’s Home Telephone

Child’s Home Address

Child's Home Address

City

State/Province

Zip/Postal

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