Extended Day Registration Packet - PDF 2025

1. Click ‘Get Form’ to open the Extended Day Registration Packet in our editor.
2. Begin by entering your child's name, birthdate, and enrollment date in the designated fields. This information is crucial for identifying your child within the program.
3. Fill out the parent/guardian information for both guardians. Include names, relationships, cell phones, home phones, addresses, employer details, and email addresses. Ensure accuracy as this will be used for communication.
4. In the custody section, list any individuals authorized to pick up your child in case of an emergency. Provide their names, relationships, and contact numbers.
5. Complete the medical information section by providing details about your child's health care provider, insurance information, known allergies, medications being taken, and any special conditions.
6. Finally, review all entered information for accuracy before signing at the bottom of the form. Both parents/guardians should sign and date where indicated.

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