Clone of Child Care Registration

Registration/Wait List

Mrs Bees Playschool
Child's Name

First NameLast Name
Child's DOB

MonthDayYear
Male or female?
Parents Name

First NameLast Name
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Email address
example@example.com
Place of work
Saturday & Sunday
I understand that during these daycare hours I will provide a lunch and a snack for my child.
I understand this home is not peanut free.
Parent Questionnaire
How is your child while out side? Runner? Etc.
Does your child socialize well with others?
How dose your child do with learning?
Does your child have allergies or any current health issues?
Does your child have any allergies to animals? We do have 2 dogs and sphynx.
What is your child's favourite foods to eat?
What is your child's most disliked food?
What is the most important thing your looking for in this program?
In regards to the experimental covid vaccine, please pick the answer that most applies to you.
Do you have any questions for me?
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Registration/Wait List