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Registration Form 2

The document is a registration form for parents or guardians to fill out when enrolling a child in the Child Development Center. It collects essential information about the child, guardian, and emergency contacts. The completed form is kept in the child's portfolio by the Child Development Teacher.

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shielalopez
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49 views1 page

Registration Form 2

The document is a registration form for parents or guardians to fill out when enrolling a child in the Child Development Center. It collects essential information about the child, guardian, and emergency contacts. The completed form is kept in the child's portfolio by the Child Development Teacher.

Uploaded by

shielalopez
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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REGISTRATION

FORM
Instructions: This form is to be filled up by the parent/guardian of the child upon
enrolment to the Child Development Center. This will kept by the Child
Development Teacher in the portfolio of the child.

Name: __________________________________________________________________ Sex: M____________ F____________


Address: ________________________________________________________________ Birthday: _______________________
Guardian: _______________________________________________________________ Relationship: ____________________
Registered: Yes No Age: ___________________________
Child’s First Language: ____________________________________________________ Second: _________________________
Guardian Information: E-mail Address: ______________________________
Mother
Name: __________________________________________________ Occupation: ____________________________________
Address: _______________________________________________________________________________________________
Contact Number: Home ___________________________________________ Work: ___________________________________
Father
Name: __________________________________________________ Occupation: _____________________________________
Address: _______________________________________________________________________________________________
Contact Number: Home ___________________________________________ Work: ___________________________________
IN CASE OF EMERGENCY, please contact the following:
Name: ___________________________________________________________________ Relationship: ___________________
Contact Number: Home ___________________________________________ Work: ___________________________________
Accomplished by: ________________________________________________ _____________________________
Signature over printed name of parent/ guardian Date
Reviewed by: ___________________________________________________ _____________________________
Signature over printed name of CDT Date

Registration Form

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