Admission Registration | KidBee Day Care & Early Learning Center

1. Child Details

Child Name *

Date of Birth *

Age *

Gender *

Blood Group

Allergies (if any)

Medical Condition (if any)

2. Parent / Guardian Details

Father's Details

Father's Name *

Father's Phone Number *

Occupation

Mother's Details

Mother's Name *

Mother's Phone Number *

Occupation

Residential Address *

Emergency Contact (Other than Parents)

Contact Name *

Relationship *

Phone Number *

3. Pickup Authorization

Persons authorized to pick up the child from daycare:

1. Name

1. Phone

2. Name

2. Phone

3. Name

3. Phone

4. Day Care Timing

Select Plan Option *

Full Day Half Day After School Care

Preferred Timing (Specify Hours)

5. Health Declaration

Is the child currently under any medication? *

Yes No

Any food restrictions? *

Yes No

6. Parent Consent Declaration

Parent / Guardian Signature (Full Name) *

Date *

Daycare Admission Form