Registration Package

    *ALL MORNING PROGRAMS ARE FULL. PLEASE EMAIL TO BE PLACED ON THE WAITLIST*
    *ALL MORNING PROGRAMS ARE FULL. PLEASE EMAIL TO BE PLACED ON THE WAITLIST*
    *ALL AFTERNOON PROGRAMS ARE FULL. PLEASE EMAIL TO BE PLACED ON THE WAITLIST*
    *ALL AFTERNOON PROGRAMS ARE FULL. PLEASE EMAIL TO BE PLACED ON THE WAITLIST*
  • Child Information

  • Parent/Guardian Information

  • Name, Age and Relationship to Child
  • Emergency Contact Information

    **THIS CANNOT BE THE MOTHER OR THE FATHER**
  • Including City and Postal Code
  • Including City and Postal Code
  • Medical Information

  • Please be specific including signs and symptoms
  • Please provide a list of all medication including dosage and when administered
    *Please include a copy of child's immunization records if you have them*
  • Please Include Name, Phone Number and Address of clinic
  • Registration Fee

    A $50.00 Non refundable fee is due at the time of submission. In your E-Transfer please put your FIRST and LAST name on the transfer
    E-Trasnfer to: munchkinacademypreschool@hotmail.com ***PLEASE INCLUDE CHILDS NAME IN ETRANSFER DESCRIPTION***