| Registration Group?* |
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Child Registration Information
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| Child's First Name * |
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| Child's Last Name * |
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| Child goes by: |
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| Child's Birthdate (MM/DD/YYYY Format) * |
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| Child's Current Age?* |
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| Child's Gender* |
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| Primary Address* | |
Best Email for Correspondence (This will be the email that we send important info to) * |
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| Verify Email * |
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Parent/Guardian Information (If not applicable put NA in any required fields)
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| Father First Name * |
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| Father Last Name * |
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| Father Cell Phone (including area code) * |
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| Father Employer Name |
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| Father Employer | |
| Father Work Phone Number |
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| Mother First Name * |
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| Mother Last Name * |
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| Mother Cell Phone (include area code) * |
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| Mother Employer Name |
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| Mother Employer | |
| Mother Work Phone Number |
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Additional Emergency Contacts
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| Emergency Contact 1 Name * |
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| Relationship to Child * |
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| Phone Number * |
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| Emergency Contact 2 Name |
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| Relationship to Child |
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| Phone Number |
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Child's Medical and Background Information
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Health concerns Wee Wisdom should know: |
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Medication, if any: |
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Allergies or other factors that could result in a medical reaction. Please give clear instuctions in the event of an exposure: |
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Special Concerns (glasses, hearing device, etc.) |
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Is your child receiving any special services? (i.e. speech, OT, PT, etc.) |
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Activities child should NOT engage in: |
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Consent to Contact Physician in Emergency
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Medical Waiver Acceptance Please read and sign the below waiver.
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| Doctor Name (child's) * |
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| Doctor Office Phone Number * |
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| Doctor Office | |
| Hospital Preference |
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Helpful Family Information
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| Parent Information*
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If "Other" on Parent Info, please explain here |
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| Child Primarily Lives With*
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If "Other" on who child lives with, please explain here |
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Please list your child's siblings (or NA if none): Name, Age, live with you (yes or no) Example: Johnny, 2, yes* |
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| Has your child ever attended another preschool/daycare setting?*
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If they have attended another place, where and when? |
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If child attends church (i.e. Sunday school, church, clubs), where and when? |
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Any other information that might be helpful in teaching your child? |
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How did you hear about Wee Wisdom? (Check all that apply)
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| Name of referral person |
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What talents/skills/gifts do you posess that would be a benefit to our preschool? (Work related, Home related, Hobbies, etc.) |
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Consents
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Handbook & Fees Acceptance Please read and sign the below waiver.
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Handbook Received Please read and sign the below waiver.
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| Attached Document: | Parent Handbook 2026-2027.pdf |
Wee Wisdom Participation Agreement Please read and sign the below waiver.
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Section 1: Internal Use of Photographs and Video Please read and sign the below waiver.
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| Based upon the Internal Use of Photographs and Video, please check your choice here*
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Section 2: External Use of Photographs and Video Please read and sign the below waiver.
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| Based on the External Use of Photographs and Video, please check your choice here*
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| I give Wee Wisdom permission to transport my child in the case of an emergency.*
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Do you agree to having your information in the class directory? * Wee Wisdom will make a class directory that includes your child's name, parent/guardian names, address, and phone numbers. This directory will only consist of the children in your child's class and will only be given to the families in your class. We do this for the sole use of communication between families (birthday parties, play dates, etc.) Not to be used for any solicitation.
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