Preschool Registration Form


Does the child have special custody?

Does the child have a Legal Guardian? (e.g. Relative or friend)

Does the above person have permission to pick up the child?

Able to pick up all children in the family

In the event of an emergency or when prior arrangements have been made, I hereby consent the contacts listed above to pick up my child(ren) from Adelfiha’s Childcare Centre.

Emergency Medical treatment may be given to my child due to accident, illness, or other emergency. I hereby give permission that in case of any emergency, if I am not immediately available, emergency transportation to the nearest hospital will be arranged by a staff member through 911.

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Privacy Policy & Terms of Use