Enrollment Form

"*" indicates required fields

Name*

Age*

Gender*

Birthday*

Address*

Do you want to add an additional child

Name*

Age

Gender*

Birthday*

Address*

Parent/Legal Guardian’s Name*

Relationship*

Address*

Home Phone*

Cell Phone*

Work Phone*

Business Name*

Working Hours*

Add Second Parent Details

Parent/Legal Guardian’s Name*

Relationship*

Address*

Home Phone*

Cell Phone*

Work Phone*

Download Emergency Form here

Download Health Inventory Form here

Emergency Form Complete*

Is the Emergency Form Complete?

File*

Max. file size: 512 MB.

Is the Health Inventory Form Complete?*

Yes

File*

Max. file size: 512 MB.

Please provide the future date of the child's physical in which the form will be completed

Please note that the Health Inventory Form must be provided within 20 calendar days of your child's first day of care

A full year of learning and fun at Master Mind