Enrollment Form

Step 1 of 21

Dear Academy Parent:

Thank you for choosing Creative Home Academy and Preschool, LLC. We are honored that you have chosen for us to help you in providing excellent care and foundational academic training. We do not take our responsibilities lightly and will do everything possible to ensure that your experience here is positive. Our childcare program is dedicated, loving, and well-trained. We look forward to greeting your child each day and teaching them valuable skills they will need to be successful in school. Socially, emotionally, and academically we strive to implement our core values and our curriculum program into every activity. We always welcome your presence and encourage you to come and watch us in action. Enclosed is a valuable packet of information as well as your registration forms. Once you have confirmed your decision on Creative Home Academy and Preschool, LLC, we ask that you complete all of the required forms and secure all necessary documentation. You will submit your completed form. We cannot accept a partially completed packet and therefore ask that you complete everything before submitting it. After your packet is submitted and checked by our office staff, you may set up your payment options with us. You will be placed on our mailing and email lists in order to receive updates throughout the fiscal year. We look forward to being part of your child's early childhood experience!

Creative Regards,
Mrs. Constance Sholar Cherry, B.A., C.D.A.

Child's Application

Full Name of Child:(Required)

Date of Admission:(Required)

Child's Date of Birth:(Required)

Name the child goes by:(Required)

Is the child related to the primary caregiver?(Required)

Yes

If yes, relationship to primary caregiver?(Required)

Child's School (if applicable):

Name

Address

Phone

Are the child's immunization records housed at the above school:(Required)

Yes

If no, list where they are housed:

Name

Address

Phone

Name of Agency:

Agency Address:

Street Address City State ZIP Code

Enrollment Form

Child's Application

Child's Health History Checklist

Parent/Provider Contract

Permission to Photograph

Rates & Fees

Basic Release

Influenza Information Notification Form

Personal Safety Curriculum Notification

Infant Feeding Plan

Location 1 (Semmes Street)

Location 2 (Dunn Ave)

Have Questions?

Location 1 (Semmes Street)

Location 2 (Dunn Ave)