BRIGHT MORNING STAR CHILD CARE APPLICATION FORM Logo
  • Child Admission Agreement

    Child Admission Agreement

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  • In case of an emergency or a serious illness and the parents cannot be reached immediately, I hereby authorize the provider to obtain emergency medical care and/or provide emergency medical transportation for my child.

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  • The parent/guardian must review this form annually and note any changes.

    (Leave these dates and signatures blank if this is a new application.)

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  • Child Health Assessment

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  • DOES YOUR CHILD HAVE ANY KNOWN ALLERGIES OR SENSITIVITIES TO:

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  • This form must be completed for each individual child enrolled, and the parent/guardian must review it annually and note any changes. (Leave these dates and signatures blank if this is a new application.)

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  • Family Needs Assessment

  • This section will help us match your child to the best spot at one of our locations. 

    While we specialize in working with parents' schedules, we cannot accommodate everybody. Decisions are made on a case-by-case basis, according to current openings and schedules of other enrollees. We are NOT a 24-hour facility.

    If we don't have a current opening that meets your needs, we may give you the option of being added to a waiting list.

  • ARE YOU ALSO APPLYING TO ENROLL OR HAVE ALREADY ENROLLED ANY OF THEIR SIBLINGS? PLEASE LIST:

  • SCHEDULE NEEDS




  • SPECIAL CARE NEEDS


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