Online Registration Form

CHILD INFORMATION

PARENT/GUARDIAN INFORMATION

Primary Contact

Secondary Contact

EMERGENCY CONTACTS (other than parents, at least 2 required)

Persons authorized to pick up child and/or be contacted in case of emergency:

Contact 1

Contact 2

Out-of-Area Emergency Contact

MEDICAL INFORMATION

I hereby give consent for the staff of Nanu's Daycare to secure and authorize emergency medical treatment for my child in the event I cannot be reached. I understand that in the event of an emergency, my child will be transported to the nearest hospital or preferred hospital if possible.

CHILD DEVELOPMENT INFORMATION

CUSTODY INFORMATION

Note: Legal documentation may be required.

PHOTO PERMISSIONS

The Parent Handbook can be accessed at: https://nanudaycare.com/policies

Privacy Policy

The information collected on this form is for the purpose of providing safe and appropriate care for your child. Your information will be kept confidential and will only be shared with staff members directly involved in your child's care. We do not sell or share your information with third parties.

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