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WeLEAD Kidz

Keys to the Kingdom of Fun for your Kids!

Early development is fundamental to the growth of your child

Enrolling your child in our program today is a smart decision that can have an exponential impact on their future success.

WeLead Christian Learning Center

Hours of Operation: 7 am-6 pm

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Enrollment
Application

Complete this application for enrollment. Completing this application does not guarantee enrollment but it does initiate the process.

Child's Name

Date of Birth

Child's Physical Address

Shirt Size

Choose your enrollment.

Preschool-K5 Full Time Preschool-K5 Part Time

All kids must be potty trained.

Child Lives With

Father/ Guardians Name

Father/ Guardians Email

Address (if different from child's)

Mobile Phone

Home Phone

Work Phone

Mother/ Guardians Name

Mother/ Guardians Email

Address (if different from child's)

Mobile Phone

Home Phone

Work Phone

Contact Release

Child will be released only to the parents/guardians listed in this application. The child can also be released to the following individuals, as authorized by the person who signs this application. In the event of an emergency, if the parents/guardians cannot be reached, the facility has permission to contact the following individuals.

Name

Relationship

Phone Number

Address

Name

Relationship

Phone Number

Address

Name

Relationship

Phone Number

Address

Name

Relationship

Phone Number

Address

Name

Relationship

Phone Number

Address

Name

Relationship

Phone Number

Address

Name

Relationship

Phone Number

Address

Name

Relationship

Phone Number

Address

Medical Form

A Medical action plan is attached. (For any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services, a medical action plan shall be attached to the application. The medical action plan must be completed by the child’s parent or health care professional.)

List any allergies.

List any other health care needs.

List any particular fears or unique behavior characteristics the of the child.

List any types of medication taken for health care needs.

Share any other information that has a direct bearing on assuring safe medical for your child.

Name of health care professional

Hospital Preference

Hospital Phone #

I, as the parent/guardian, authorize the center to obtain medical attention for my child in an emergency

I, as the parent/guardian, authorize the center to obtain medical attention for my child in an emergency.

Please upload birth certificate, immunization records and allergy records

Signature

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WeLEAD Kidz

Keys to the Kingdom of Fun for your Kids!

Early development is fundamental to the growth of your child

quick links

Information

our gallery

EnrollmentApplication

Enrollment
Application