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  • TCDC Enrollmemt Application 2011-2012

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    dawnelece
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    Trinity Child Development Center and Christian Academy enrollment application for the 2011-2012 school year. The application requests the child's name, birthdate, home address, parents' names and occupations, emergency contact information including doctors and hospitals, and requires a $50 non-refundable registration fee to process. It must be signed and dated by a parent or guardian.

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    Trinity Child Development Center and Christian Academy enrollment application for the 2011-2012 school year. The application requests the child's name, birthdate, home address, parents' names and occupations, emergency contact information including doctors and hospitals, and requires a $50 non-refundable registration fee to process. It must be signed and dated by a parent or guardian.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as DOC, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    134 views1 page

    TCDC Enrollmemt Application 2011-2012

    Uploaded by

    dawnelece
    Trinity Child Development Center and Christian Academy enrollment application for the 2011-2012 school year. The application requests the child's name, birthdate, home address, parents' names and occupations, emergency contact information including doctors and hospitals, and requires a $50 non-refundable registration fee to process. It must be signed and dated by a parent or guardian.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as DOC, PDF, TXT or read online from Scribd
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    of 1

    Trinity Child Development Center and Christian Academy

    113 Wessen Street


    Pontiac, Michigan 48341-2269
    Phone: 248-334-6436 Fax: 248-334-1712
    ENROLLMENT APPLICATION 2011-2012 SCHOOL YEAR
    Date of Enrollment ______/______/______
    Childs full name______________________________________________ Birth Date_____/_____/_____
    Home Address_____________________________________________City______________Zip________
    Fathers Name __________________________________Mothers Name__________________________
    Occupation_____________________________________Occupation_____________________________
    Employer______________________________________Employer_______________________________
    Telephone (

    ) ________________________________Telephone ( ) ___________________________

    Financial responsibilities for applicant will be consumed by __________________________________


    Person or persons authorized to pick up your child

    Name ________________________________________________Phone #_________________________


    Name ________________________________________________Phone #_________________________
    Name of doctor to call in case of an accident or illness________________________________________________

    Phone #_____________________Hospital preference in case of an emergency ___________________


    Address_____________________________________________ Phone____________________________

    A $50.00 non-refundable registration fee is required to process this application.


    Cash ___________Check #___________________ Money Order #______________________________
    Completion of this form conveys a request for admission to the Trinity Child Development Center and Christian
    Academy.
    Parent/Guardian Signature____________________________________________________Date _________________
    E-Mail Address ___________________________________________________________________________________
    Referred by_______________________________________________________________________________________

    Enrollment application
    3309

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