Beibei Amigos Registration Form DES

Bei Bei Amigos Student Registration Form

2023-2024 School Year
Student Information

Before submitting this form please contact Beibei Amigos Language Preschool
Please Select Desired Starting Date

MonthDayYear
Date
Student Name

First NameMiddle NameLast Name
Birth Date

MonthDayYear
Gender
Potty Trained?
Food Allergies or Restrictions
If yes, please specify Allergy/Restriction & Reaction

Is Parental Custody Legally Restricted? Please submit appropriate legal documents with name of the parent legally restricted
Parent's/ Guardians
Mother's/ Father's

First NameLast Name
Email
example@example.com
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Cellphone Number
Please enter a valid phone number.Format: (000) 000-0000.
Work Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Occupation

Emergency Contact

This section is mandatory and families must provide at least two emergency contacts
1st Emergency Contact

First NameLast Name
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
2nd Emergency Contact

First NameLast Name
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
3rd Emergency Contact

First NameLast Name
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
4th Emergency Contact

First NameLast Name
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.

Emergency Contact Card, Immunization Records and Birth Certificate
You must download the Emergency Contact Form First and then once completed you will upload it below.

Click Below to Download the form and upload it below.

CLICK HERE TO DOWNLOAD THE EMERGENCY CONTACT FORM
UPLOAD your completed Emergency Contact Form Here

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Immunization Records

All Children must have proof of immunizations, or a valid exemption for medical reasons (including lab evidence of immunity) or religious beliefs
Upload A Copy of Your Updated Immunization Record

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Student Birth Certificate
Upload A Copy of child's Birth Certificate

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Financial Policy
I have read the financial policy in its entirity and agree to comply with the terms stated herein.
Financial Policy
Photo and Filming Release
Please Select One
Photo and Filming Release Permission
Drop-Off & Pick-Up Policy

I am responsible for signing my child In/Out on the signing system provided by the center when they arrive and when I take them home
All students MUST be signed In/Out daily. If a signature is missing, parents will be asked to return to school to sing within an hour of notification, failure to do so will result in the charge of $15 per every signature missed.
Drop-Off & Pick Up Policy
Permission to Apply Diaper Ointment

For Students under 3 ONLY
I, the parent/guardian of the above named child, give permission to the staff of Beibei Amigos to apply the following topical diaper ointment that I have provided:
Permission to Apply Diaper Ointment

Bei Bei Amigos Student Registration Form