2 Year Old Class Registration

This is the Preschool & Mother's Day Out application for the 2018-2019 School Year
Please Note:
Mom's Day Out (MDO)
Your child must be 2 years old by August 1, 2018
Class Registration

Mom's Day Out

Child Information

Parent Information

Family Information

Emergency Contact Information (other than parents)

Medical Information

Medical History

Payment

Other:

Electric Signature

I consent to the enrollment of my child into the Broadway Baptist Preschool Program, and agree that the Broadway Baptist Church shall not be responsible in case of sickness or in the event that my child is injured while attending Preschool at Broadway Baptist Church. I grant permission for any staff member in charge to administer treatment or obtain necessary medical attention to stabilize my child. I also agree to use my family health insurance as the primary coverage.

Description

This is the Preschool & Mother's Day Out application for the 2018-2019 School Year
Please Note:
Mom's Day Out (MDO)
Your child must be 2 years old by August 1, 2018