Paradise Learning Centre
Child's first name:
Child's last name: Child's Gender GirlBoyX Child's Date of Birth
Starting date:
Child's age when start attending our Centre
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Months: 01234567891011
Enrollment inquiry Full timePart time
Have your child attended any childcare or dayhome anytime? YesNO
Please write all previous and current daycares or dayhomes that your child had/has been enrolled.
Does your child need any special needs? NOYES
Please write if any special need or care is required.
Your info First name Last name Phone Email Your relationship with child MomDadGrandparentFoster ParentAunt/UncleFamily Friend
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