Pre-Enrollment | Risen Life Kids Learning Academy

Daycare Pre-Enrollment

Risen Life Kids Learning Academy - Licensed Daycare Center

- Open for ages 6 weeks to 12 years old

- Monday - Friday 6:30am - 5:30pm

- ERDC or Private Pay Accepted

Parent first name

Parent last name

Phone

Email address

Address

Occupation

Child first name

Child last name

Child date of birth

Month

Day

Year

Child's gender

Male

Female

Has your child been in daycare before? If YES, what is the name and location of the previous daycare

What days & hours do you need care? *example: Monday 8:30am-1:00pm, Wednesday-Friday 8:00am-3:30pm

When do you need childcare to begin?

Are you approved for ERDC? If YES, how many hours do you have?

Can you tell me a little about your child’s personality and how they typically interact with others?

Has your child been seen by any specialists (e.g., speech therapist, occupational therapist, developmental pediatrician)?

Are there any medical conditions, diagnoses, or assessments we should be aware of to better support your child?

How does your child usually communicate their needs (e.g., verbally, gestures, signs)?

How does your child interact with peers and adults? Are there any behaviors we should be aware of?

Are there any developmental milestones your child has reached earlier or later than expected?

Have you or any healthcare providers noticed any challenges in speech, motor skills, or sensory processing?

Date completed

I agree that all the info I provided is accurate