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Precious Pearl Daycare
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Enrollment Form
enrollment form
Fill the Form below to Enroll Your Child
Parent/ Guardian Information
Parent/Guardian Full Name
Email Address
Phone Number
Preferred Contact Method
Phone
Email
Child Information
Child’s Full Name
Child’s Date of Birth
Child’s Age
Child’s Gender (Optional)
Male
Female
Prefer Not to Say
Program Details
Program Interested In
Infant Program (0-18 Months)
Toddler Program (18 Months-3 Years)
Preschool Program (3-5 Years)
Preferred Start Date
Required Days of Care
Select
Monday - Friday
Part-Time
Flexible
Preferred Schedule (Optional)
Full Day
Flexible Schedule
Half Day
Required Documents
Documents Available
Select
Birth Certificate
Immunization Records
Medical Information (if applicable)
Photo Consent Form
Consent & Confirmation
I understand that submitting this form does not guarantee enrollment or hildcare placement. Availability will be confirmed by Precious Pearls Daycare Inc.
I authorize Precious Pearls Daycare Inc. to contact me regarding my enrollment inquiry.
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