Childcare Settling Session Registration Form

Childcare Settling Session Registration Form
Register your child for a settling session. Please provide the details below so we can best support your child’s transition.
Child's Full Name
First NameLast Name
Child's Date of Birth
MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Parent/Guardian Full Name
First NameLast Name
Parent/Guardian Email Address
example@example.com
Parent/Guardian Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Preferred Session Date
MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Preferred Session Time
Hour Minutes
AM/PM Option
Who will drop off and pick up the child?
Does your child have any allergies or special needs we should be aware of?
Additional Notes for the Childcare Provider
Should be Empty: