Registration Form

CHILD INFORMATION
PARENT INFORMATION


Enrollment: Please return this completed form along with immunization records, payment for your child’s Registration and weekly fee to begin the enrollment process. Prior to your child’s attendance at The Little House Learning Center, all enrollment information must be completed, signed and returned to the office director.
CHILDREN’S ENROLLMENT FORM
PARENT INFORMATION

The child may be released to the person(s) singing this agreement or to the following:

Persons to contact in the case of emergency when parent or guardian cannot be reached:

Admissions team looks forward
to learning about you and your family.