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Drop-In Care Program

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Taking Care of Your Precious Child at a Moment’s Notice.

Finding a place to leave your child during urgent matters is never easy. Let us provide your child with a loving environment where they are able to enjoy themselves during their time away from you. Regardless of the time your child arrives, we will provide them with nutritional food or snacks. Our program goal is to offer parents the flexibility of dropping off their little ones in a loving and nurturing environment when their schedule changes unexpectedly.

Drop In Enrollment Form

"*" indicates required fields

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Location:*
Child’s Name*
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Gender*

Home Address*

Enrolling (Parent/Guardian Name)*

Emergency Contact Info:

Give the name, address, and phone number and relationship of the responsible individuals to call in case of an emergency if parents/guardian cannot be reached.
Name*

Authorization for Emergency Medical Attention (physician)

Authorization for Emergency Medical Attention (Facility)

I give consent for the facility to secure any and all necessary emergency medical care for my child.
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Additional Needs (Child)

List any special needs that your child may have, such as environmental allergies, food tolerances, existing illness, previous serious illness, injuries and hospitalization during the past 12 months, any medication prescribed for long term continuous use, and any other information which caregivers should be aware of:
Does your child have diagnosed food allergies?
Does your child have diagnosed food allergies?
My child has been examined within the past year by a health care professional and is able to participate in the day care program. Initial
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Care Reminders

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