Methodist Children's Academy
Twos Registration (Born September 1, 2021 - August 31, 2022)
Child's Name
*
First Name
Middle Name
Last Name
Birthdate
*
/
Month
/
Day
Year
Date
Age in Years
*
As of September 1, 2024
Guardian Contact Information
*
First Name
Last Name
Email Address
*
example@example.com
Cell Phone
*
Please enter a valid phone number.
I understand that after submitting this short form to secure my spot, I will be receiving an email with a link to a required LONG submission form (to the above listed email) that must be submitted within 24 hours.
*
Yes
Child care facility certificate of license number C01ES0084
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