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Application for Here2Grow Preschool Enrollment
Select Year :
Child’s Last Name
Child’s First Name
Child’s Middle Name
Name you wish your child to go by
Child’s Birth Date:
Mom’s Cell Phone
Dad’s Cell Phone
Mom’s Work Phone
Dad’s Work Phone
Family Email Address
Additional Email Address
Mother’s Occupation/ Employer
Name and date of birth of brothers and sisters:
(Fill in Name)
Please give any information concerning your child, which will be helpful in his/her experience in group settings (such as play, eating and sleeping habits, special fears, special likes or dislikes).
Are there special health conditions we should know about? For example, allergies or activities that should be avoided?
What are your child’s favorite toys or play materials?
Are immunizations current?
Would you like to be included in a classroom directory for families?
Are you interested in serving on the parent advisory board?
May we communicate to you via e-mail?
Special Requests or Recommendations:
Emergency Care Information
Name of child’s doctor
Name of child’s dentist
If neither father nor mother (or guardian) can be contacted, call:
Relationship to Child
Relationship to Child
If you cannot pick-up your child, please give the names of persons to whom the child can be released:
Emergency Action Release and Consent to Treat
I give HFFA and the Here2Grow Preschool team members permission to treat or authorize treatment on behalf of my child in the event emergency medical care is needed. I understand that when possible, every attempt will be made to reach me or my emergency contacts prior to treatment. I understand that HFFA and it’s employees will call for and authorize emergency care in my absence if necessary.
For questions on your application and confirmation of application & registration status, how would you like to be contacted?
Type Verification Code
704.766.2222 | 11725 Verhoeff Drive | Huntersville, NC 28078 | ©2008 Huntersville Family Fitness & Aquatics. All Rights Reserved | Site designed and maintained by Breiding Marketing