WE ARE NOW LICENSED FOR AGES 16 MONTHS TO 12 YEARS OLD!

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Once your online registration has been received, you will receive an invitation to make online payments through Brightwheel.

Child Registration Form

Sex
Parent(s)/Guardian(s)
Emergency Information
Two People To Contact if Parent(s) Cannot Be Reached
  • Appropriate paperwork such as custody papers shall be attached if a parent is not allowed to pick up the child.

  • NOTE: Section 22.1-4.3 of the Code of Virginia states that unless a court order has been issued to the contrary, the noncustodial parent of a student enrolled in a public school or day care center (i) shall not be denied the opportunity to participate in any of the student's school or day care activities in which such participation is supported or encouraged by the policies of the school or day care center solely on the basis of such noncustodial status and (ii) shall be included, upon the request of such noncustodial parent, as an emergency contact for the student's school or day care activities.

Agreements

1. The child day center agrees to notify the parent(s)/guardian(s) whenever the child becomes ill and the parent(s)/guardian(s) will arrange to have the child picked up as soon as possible if so requested by the center.

 

2. The parent(s)/guardian(s) authorize the child day center to obtain emergency medical care if any emergency occurs when the parent(s)/guardian(s) cannot be located immediately. **

 

3. The parent(s)/guardians agree to inform the center within 24 hours or the next business day after his child or any member of the immediate household has developed a reportable communicable disease, as defined by the State Board of Health, except for life threatening diseases which must be reported immediately.

Signatures

Thank you for registering your child! We will be in contact with you shortly!