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Our Belief
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Our Eco-mmitment
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General Information
In The Classroom
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Location Directories
Fremont Center
Northwest Center
Southeast Center
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ChildRoots Time Off Request Form
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Feedback
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Preschool Teacher
Substitute Teacher
Break Support
ChildRoots
Virtual Tour
Our Belief
The ChildRoots Way
Our Eco-mmitment
Our Memberships
Our Program
General Information
In The Classroom
Staff
Locations
Enrollment
Tuition
Process
RSVP for a Tour
Wait List
Wait List Inquiry
Policies
Community Events
Calendar
Media
Press
Testimonials
Contact Us
FAQ
Location Directories
Fremont Center
Northwest Center
Southeast Center
Family Resources
News for Families
The ChildRoots Way: Class Series
Forms & Handouts
Staff Resources
Directory
ChildRoots Time Off Request Form
News for Staff
Teacher Collaboration Committee
Admin
Feedback
Jobs
Preschool Teacher
Substitute Teacher
Break Support
CONTACT INFORMATION FORM
Thank you for taking the time to update your family's contact and emergency information.
CHILD INFO
Current Location
*
-
Fremont Center
Northwest Center
Southeast Center
Alberta Annex
Burnside Annex
Grand Annex
Current Room
*
-
1
2
3
4
5
6
7
8
9
East
South
West
Child DOB
*
Child DOB
MM
DD
YYYY
Name
*
Name
First Name
Last Name
Sibling
Sibling
For families with two enrolled children
First Name
Last Name
Primary Address
Primary Address
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
PARENT CONTACT INFO
Parent 1 Name
*
Parent 1 Name
First Name
Last Name
Parent 1 Email
*
Parent 1 Cell
*
Parent 1 Cell
(###)
###
####
Parent 1 Cell Carrier
Parent 2 Name
Parent 2 Name
First Name
Last Name
Parent 2 Email
Parent 2 Cell
Parent 2 Cell
(###)
###
####
Parent 2 Cell Carrier
EMERGENCY CONTACT INFO
In the event of an emergency parents will always be contacted first. Emergency contacts are people parents trust to receive information and make decisions about the child should the parents be unavailable. By designating someone as an emergency contact you are also authorizing them to be able to pick up your child.
Emergency 1 Name
Emergency 1 Name
First Name
Last Name
Emergency 1 Email
Emergency 1 Cell
Emergency 1 Cell
(###)
###
####
Emergency 2 Name
Emergency 2 Name
First Name
Last Name
Emergency 2 Email
Emergency 2 Cell
Emergency 2 Cell
(###)
###
####
Notes
OUT-OF-STATE CONTACT
Out-of-State Name
Out-of-State Name
First Name
Last Name
Out-of-State Email
Out-of-State Cell
Out-of-State Cell
(###)
###
####
Thank you!