Infant & Toddler Enrollment Application

Desired Location (1st Choice)*

The Avenues Preschool 50 South 900 East SLC UT 84102The Second Avenues Preschool 91 R Street SLC UT 84103The Eastside Preschool 1650 East 3300 South SLC UT 84106The Cottonwood Preschool 2890 Cottonwood PKWY Suite 150 SLC UT 84121

Check below if you would like your application to be submitted to all locations

All locations

AIRBORNE ALLERGY ALLERT: Please be advised that our programs support parents providing personal food to their children while in our care. Because we cannot know the ingredients of homemade foods, we cannot ensure that food items are free of a certain product. This does not prevent us from accommodating children with consumable food allergies. If you have any questions, please call and speak to a director.

Child's Full Name*

If child is unborn, please input "Baby" and the last name

Age

Date of birth*

If child is unborn, please enter Due date

Nickname, if any

Do you have a child currently attending any Child Time Inc facility*

YesNo

Sibling's name

Age

Location enrolled

Sibling's name

Age

Location enrolled

Desired Start Date

Date

Desired Schedule: For children under 3 we only offer Full Time

All tuition is due monthly by the 1st and is payable through our parent communication and billing app.

Full Name of Parents/Guardians

Parent 1*

Address*

City*

ST*

ZIP*

Occupation*

Home Phone

Work Phone*

Cell Phone*

Email*

example@example.com

Parent 2

Address

City

ST

ZIP

Occupation

Home Phone

Work Phone

Cell Phone

Email

example@example.com

Are both parents supportive of the child attending our center?*

YesNoNA

If no, has the parent not wanting to enroll had their custodial rights altered by a court of law?

YesNo

If no, we encourage you to discuss this matter further. CTI is unable to restrict access to a child unless we have court documents that alter the custodial rights of a parent. Please contact the center director with any questions.

Has your child been cared for by anyone other than parents? Please describe the situation:

What was/is your reason for leaving?

Has your child ever been disenrolled from a program? If yes, please explain the situation, including class size and ratio:

Please describe your child's temperament (e.g., shy, outgoing, strong willed, easy going, etc.)

Do you have any worries or concerns regarding your child attending group care?

To make the transition from 1:1 care to group care as easy as possible for the child, we need to work together. The following must be routine for the child before they can begin attending the center:

Please initial each item to acknowledge understanding of this requirement.

For infants:

Takes a bottle regularly*

Sleeps in crib without swaddling or wedges (these items are prohibited by licensing)*

Does not require rocking or swinging to remain asleep (licensing requires children to be moved to a crib within 5 minutes of falling asleep)*

Can be transferred to a crib once asleep*

Sleeps through some noise*

Is comfortable with floor time*

Does not require being in carried or "worn" for the majority of the day*

For toddlers:

Can feed themselves at least some foods*

Is not accustomed to wandering with a bottle (prohibited by licensing) *

Does not require a bottle to fall asleep (prohibited by licensing)*

Has been weaned from binky or pacifier other than for nap (licensing requires pacifiers to be treated the same as bottles for cleaning. Children will often discard a pacifier and another child can pick it up resulting in the spread of germs)*

Wears shoes daily*

If a child has a security item, it is small enough for the child to hold and does not pose a choking hazard or conflict with center policies. (Blankets cause tripping hazards, superhero items are not appropriate, items with pacifiers attached can only be used for nap)*

If you need any ideas about how to help your child make any of the transitions listed, please feel free to call us. We have wonderful loving teachers that work hard to meet the needs of every child continually throughout the day. They spend as much time holding, interacting, and engaging each child as is possible in a group environment. When we work together, and the children are prepared for the setting the transition into the center is much easier for the child & parents.

What is your child's current napping schedule?

For children 18 months and older, we are required by licensing and accreditation standards to provide a peaceful environment for nap time. Are you prepared to work with the center to get your child on the same nap schedule as the class, even if this means changing bedtimes at home?*

YesNo

Napping provides children with critical brain development. Our program prioritizes this physical need by including naps in the daily schedule for all groups through age 5. As your child ages, sleep patterns change, we encourage families to adjust the bedtime and wake up time at home as the need for sleep changes. We do not have options for children that do not nap, and it is not appropriate to expect a child to sit quietly for over an hour so that the other children can sleep. A successful naptime is key to the wellbeing of everyone in the classroom.

What is your child's current feeding schedule?

Are there any special considerations (custody issues, behavioral concerns, medical needs, etc that we should be aware of? Please describe in detail:

Please be aware that every new food or formula must be introduced at home and the child must be observed for 24 hours prior to leaving them in our care. This also applies to any medication that the child may need. This 24- hour period enables you to watch for any negative reactions that may occur.

Parent's Signature*

Date*

Date

Parent's Signature

Date

An Application fee of $95 is due upon submission of the enrollment application This fee is non-refundable and does not guarantee enrollment.

My Products

Infant & Toddler Application Fee Product Image

Infant & Toddler Application FeeEnrollment Application Fee

$95.00

Enter coupon

Total

$0.00

Payment Methods

Choose from one of the PayPal options to make your payment.