Common Contracts
1 similar Enrollment and Financial Agreement contracts
ContractEnrollment and Financial Agreement • March 22nd, 2021
For office use only Entered in Brightwheel: Registration pd Ck# or online: Enrollment and Financial Agreement 2021-2022 School Year Current date: Start date: Child’s full name: Last First Middle Date of Birth: Male Female Please circle program days desired in appropriate age needed Extended Full Days7:00am - 5:30pmRegular Full Days8:30am - 4:00pm 2 Days T/TH3 Days M/W/F5 Days M-F 2’s class (Potty trained Y or N)3’s class4’s (Pre-K) Class Kindergarten Program Parent/Guardian Information: Mr./Mrs./Ms. Home phone: Home address: Cell phone: City/state/zip: Lives with student? Yes No Relation to student: Billing party? Yes No Employer: Work phone: Email address: Parent/Guardian Information: Mr./Mrs./Ms. Home phone: Home address: Cell phone: City/ state /zip: Lives with student? Yes No Relation to student: Billing party? Yes No Employer: Work phone: Email address: Special physical conditions/allergies to food or medications we should be aware of: Photo
