Registration

  1. Home
  2. Registration

Magical Minds Daycare Registration

Child Name:
Fill out this field
Date Of Birth
Fill out this field
Address:
Fill out this field
Select program
Select an option

Parent 1:

Phone:
Fill out this field
Email
Please enter a valid email address.
Address:
Fill out this field

Parent 2:

Phone:
Fill out this field
Email
Please enter a valid email address.
Address:
Fill out this field

Emergency Contact Person: 1.

Relationship:
Fill out this field
Phone:
Fill out this field
Address:
Fill out this field

Emergency Contact Person: 2.

Phone:
Fill out this field
Address:
Fill out this field
Relationship:
Fill out this field
Health Concerns:
Fill out this field
Dietary:
Fill out this field
AHC:
Fill out this field
Immunisation:
Fill out this field
Authorised Pick-Up:
Fill out this field

After filling this form, either you can bring it to the center or submit it at magicalminddaycare@gmail.com or info@magicalmindsdaycare.com

Do You Have Any Question? Please Call Us

(780) 966-7733