WEE Ministry Enrollment Form

Child's Information

Child's Full Name:*
Session: *
Please check the days for which this child is enrolling: *
Child's Birthdate:*
Child's Gender: *
Child's T-shirt Size: *

Parent's Information

Mother's Full Name:*
Father's Full Name:*
Address: *
Address Line 1
Address Line 2
City
State/Prov.
Postal Code
Home Phone:*
Mother's Employer:
Mother's Work Phone
Mother's Cell Phone:
Mother's E-mail Address:
Father's Employer:
Father's Work Phone:
Father's Cell Phone:
Father's E-mail:
Medical, Emergency and Other
Name of Church Currently Attending:
With whom does the child currently live?*
Emergency Contact (other than parents):*
Emergency Contact Phone:*
Persons who have permission to pick up child at preschool (please list names and numbers): *
Allergies (e.g., foods, medications, animals): *
Other things that we may need to know about your child (e.g., sleep habits, eating habits, fears, behavioral concerns) :
Has your child attended another preschool program, and if so, where?
Does your child have any serious illness?
Full Name of Child's Doctor:*
Doctor's Phone:*
Siblings (please give names and ages):

Authorizations & Waivers

I authorize my child to receive medical treatment should it become necessary. I also authorize church personnel to secure the use of an ambulance if necessary for transporting my child to the nearest facility.
I agree:*
I give permission for my child to use all of the play equipment and participate in all the activities of the preschool. I hereby release AHBC and personel from any and all liabilities that might incur while attending WEE. I give permission for my child to be included in evaluations and pictures connected with the preschool program.
I agree:*
I agree to pay the monthly tuition dues between the first and the tenth of each month. I understand that this is not refundable and the total amount is to be paid regardless of the number of days my child is absent.
I agree:*
*

wee staff

 

Emily Condry - WEE Director
E-mail: emily@arrowheights.org
Phone: (918) 451-1815

Tressy Wright - WEE Assistant Director
E-mail: twright@arrowheights.org
Phone: (918) 451-1815

policies


To know our policies and expectations, please familiarize yourself with our Policy Book. If you have any questions, please do not hesitate to contact the WEE office. Thank you!