Enrollment Application 2027-28

Name of Child

First NameLast Name
Birth date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Gender
Adult #1
Name

First NameLast Name
Relationship to Child
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Telephone
Format: (000) 000-0000.
E-mail Address
example@example.com
Ocuppation/Workplace
Adult #2
Name

First NameLast Name
Relationship to Child
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Telephone
Format: (000) 000-0000.
E-mail Address
example@example.com
Ocuppation/Workplace
What language(s) does your child hear and/or use at home?
Primary adults responsible for your child's care?
Are there cultural traditions, family practices, or other aspects of your family that would be helpful for US to know?
Has a sibling or other child in your family attended Buen Día?
If yes, provide name(s):
Please describe your child's current or previous childcare experience.
How would you describe your child's personality and temperament?
Is there anything about your child's development, communication, learning, behavior, or support needs that would be helpful for US to know at this time?
Please describe your child's current experience with toileting.

Are there any allergies, dietary restrictions, or other health-related needs that we should know about?
What does your child enjoy doing?
What is your approach to setting limits and supporting your child's behavior?
Has your child been identified as having a developmental, learning, behavioral, or other special need?
If the child's parents/guardians do not live together, please share any information about the family's living arrangements, caregiving responsibilities, or other circumstances that would be helpful for Buen Día to understand.
Why are you interested in Buen Día Family School?
PROGRAM options:
This application is due by February 28 (10am)

There is a $50 application fee to apply to Buen Día Family School. If this fee is a barrier for your family, please do not let it stop you from applying. You may submit your application without the fee, and we can work with you to determine whether the fee can be waived or deferred.

If you would like to include additional information, please attach it to this sheet
Parent/Guardian Signature
Date of Application

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
My Products
prevnext( X )
Application Fee
$50.00 Quantity

Total

$0.00
Payment Methods

Fastlane Checkout

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

Contact Info

Payment Info
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