Full Student Application

  • Student Enrollment Application

  • Thank you for choosing to enroll at Ardent! This application form helps us to get to know your child and your family so we can create the best possible experience from the very start. We're excited to partner with you in helping your child learn, grow, and thrive!
  • Child's Enrollment Date*
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  • Child's birthdate*
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  • Child's Shirt Size
  • Is your child potty trained?*
  • Has your child ever been enrolled at another preschool or daycare?*
  • Did that center use the Procare Parent App?*
  • Mother/Guardian D.O.B.*
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  • Father/Guardian D.O.B.
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  • Mother/Guardian: Are you Hispanic or Latino?*
  • Father/Guardian: Are you Hispanic or Latino?
  • Mother/Guardian: Select one or more of the following races:*
  • Father/Guardian: Select one or more of the following races:
  • Format: (000) 000-0000.
  • Format: (000) 000-0000.
  • Format: 000 000-0000.
  • Format: 000 000-0000.
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  • Have either parent or guardian of the child ever been convicted of a sexual crime?*

  • Person(s) to be contacted in an emergency if parent(s)/guardian(s) cannot be reached:

  • Emergency Contact #1

  • Format: (000) 000-0000.

  • Emergency Contact #2

  • Emergency Contact #3

  • Authorized Pick-Up | Person(s) the child may be released to):

  • Format: (000) 000-0000.
  • Format: (000) 000-0000.
  • Format: (000) 000-0000.
  • Format: (000) 000-0000.
  • Format: (000) 000-0000.

  • Student Health, Behavioral and Diet Profile

    This section helps us better understand your child's health, behavior, and dietary needs. By sharing these details, you are providing our administration and caregivers the tools to provide consistent care, support, and a nurturing environment that feels just right for your child.
  • Is your child an infant solely on formula or breastmilk? (not yet eating baby or table foods)*
  • Is your child on breastmilk?*
  • Breastmilk Preparation*

  • Breast milk must be prepared and stored in a bottle ready for use with the amount of milk for one feeding, labeled with the child's full name, and date of collection. *Frozen storage bags are not permitted.

  • Dairy Products

  • Please continue to next page...

  • Is your child allergic to dairy products?*
  • If yes, severity*
  • Please list your child's signs and symptoms of a reaction (check all that apply):*
  • Can your child drink regular dairy milk?*
  • My child CANNOT have the following:*

  • Nuts

  • Is your child allergic to nuts?*
  • If yes, severity*
  • Please list your child's signs and symptoms of a reaction (check all that apply):*

  • Eggs

  • Is your child allergic to eggs?*
  • If yes, severity*
  • Please list your child's signs and symptoms of a reaction (check all that apply):*
  • My child CANNOT have the following:*

  • Fruits & Vegetables

  • Is your child allergic to any fruits or vegetables?*
  • If yes, severity*
  • Please list your child's signs and symptoms of a reaction (check all that apply):*
  • Can your child have food items made with tomatoes (example: pizza?)

  • Fish

    While our meal plan does not include fish., we still want to be aware of any fish allergies your child may have. This information helps us when planning special events, classroom activities, or any other situations where outside food may be present.
  • Is your child allergic to fish?*
  • If yes, severity*
  • Please list your child's signs and symptoms of a reaction (check all that apply):*

  • Environmental Allergies or Skin Conditions

  • Does your child have any skin sensitivities, conditions, or issues (such as eczema, rashes, or allergies) that we should be aware of to help keep them comfortable ?*
  • Is your child allergic to bee stings or bug bites?*
  • Does your child require an Epipen?*

  • Respiratory Allergies

  • Does your child have any respiratory allergies or conditions?*
  • If yes, severity:*
  • Does your child require any respiratory medicine or breathing treatments?*

  • Health & Behavior

  • Has your child ever experienced a seizure? If yes, please provide details about when it occurred, how often, and any care instructions we should follow.*
  • Has your child been diagnosed with diabetes? If yes, please share any care instructions, monitoring needs, or emergency protocols we should follow to support your child's health during the school day.*
  • Does your child have any other health related issues that we should be aware of?*
  • Has your child ever left a childcare or daycare program before the expected time? If yes, please share any details you feel are important so we can support your child in having a positive and successful experience with us.*

  • Special Instructions

  • We love celebrating our students' achievements and special moments! Do we have your permission to share photos or videos of your child on social media?*
  • Every so often we update images on our website and promotional materials. Do we have your permission for photos or videos of your child to be shared on our website or promotional materials?*
  • Format: 000 000-0000.
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  • Parental Agreement/Signature Page

  • I give permission for my child to participate in:

  • Activities away from the facility:*
  • Transportation provided by the facility:*
  • Swimming/wading activities provided by the facility:*
  • Should be Empty: