Ms. Carol's Learning Center
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Curriculum
Registration
Newsletter
COVID-19 Safety Plan
Home
Curriculum
Registration
Newsletter
COVID-19 Safety Plan
Ms. Carol's Learning Center
Registration packet
Open Form
Registration Packet
Registration Form
Please enter your desired start date.
*
MM
DD
YYYY
Child's information
Child's Name
*
First Name
Last Name
Child's Date of Birth
*
MM
DD
YYYY
Parent/Guardian Information
Parent/Guardian #1
*
First Name
Last Name
Address
*
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Phone
*
Country
(###)
###
####
Email
*
Employer Information
Name of Employer
Work phone number
Work email
Parent/Guardian #2
*
First Name
Last Name
Address
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Phone
Country
(###)
###
####
Email
Employer Information
Name of Employer
Work phone number
Work email
Other information
Days and times requested
*
Please check the days you are interested in having your child attend Ms. Carol's Learning Center
Monday
Tuesday
Wednesday
Thursday
Friday
Please list the approximate times you will be dropping off and picking up your child
*
Hour
Minute
Second
AM
PM
*
Hour
Minute
Second
AM
PM
Please use this space for any additional information you would like us to know
(Allergies, special services, etc.)
How did you hear about us?
*
Google or search engine
Facebook
Referral
Walk-in
Thank you, someone from our staff will be contacting you once review your information!