Parent/Guardian * First Name Last Name Email * Phone (###) ### #### Place of Employment Parent/Guardian First Name Last Name Phone * (###) ### #### Place of Employment * Child's Name * First Name Last Name Date of Birth * MM DD YYYY Any known allergies? * Child's Name First Name Last Name Date of Birth MM DD YYYY Any known allergies? Child's Name First Name Last Name Date of Birth MM DD YYYY Any known allergies? Child's Name First Name Last Name Date of Birth MM DD YYYY Any known allergies? Any medical information that our educators should be aware of and take precaution? * Emergency Contact #1 * First Name Last Name Phone (###) ### #### Emergency Contact #2 * First Name Last Name Phone (###) ### #### Emergency Contact #3 * First Name Last Name Phone (###) ### #### Please provide a list of names (first and last) of those authorized for Pick-Up: * What methods do you generally use to discipline your child? * What methods work best to encourage your child's cooperation? * Any other important information needed to ensure a safe and fun experience at MHK Play Studio? * Thank you! Enrollment Form Enrollment Form Enrollment Form
