Medium

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Child Care Enrollment Form Mobile App

The Child Care Enrollment Form mobile app offers a simple way for child care providers to sign up new students. Parents can complete the electronic form using a smartphone or tablet, making the registration process quick and easy for child care centers, day care operators and in-home child care providers.

The customizable child care center registration form covers basic details for each child, including contact information for their parents or guardians, home address, details about allergies and more. Once completed, the forms are saved electronically for your records.

  • Lendlease
  • The Cooperative
  • PG&E
  • Red Bull
  • Mirvac

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Included Features

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Included Fields

Customize to add, remove, or edit any of the fields below.

  • Ico textbox

    Last Name

  • Ico textbox

    First Name

  • Ico textbox

    Middle Name

  • Ico date

    Full Birth Date

  • Ico dropdown

    Sex

  • Ico textbox

    Race/Nationality

  • Ico textbox

    School Age/Grade

  • Ico dropdown

    Transportation

  • Ico textbox

    School Attending

  • Ico textbox

    Guardian Name

  • Ico textbox

    Relationship To Child

  • Ico integer

    4 Digit Pin #

  • Ico textbox

    Home Address

  • Ico textbox

    City

  • Ico integer

    Zip Code

  • Ico integer

    Cell #

  • Ico integer

    Home #

  • Ico integer

    Other #

  • Ico textbox

    Email Address

  • Ico textbox

    Employment Name and Position

  • Ico multiline

    Employment Address and Phone

  • Ico textbox

    Contact Name

  • Ico textbox

    Relationship to Child

  • Ico integer

    4 Digit Pin#

  • Ico integer

    Cell #

  • Ico integer

    Home #

  • Ico integer

    Other #

  • Ico textbox

    Doctor's Name

  • ...and More!

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