Exploration Station Parent Handbook Form

Exploration Station Parent Handbook Form

Please complete this form to confirm you have received, read, and agree to the Exploration Station Early Learning Institute Parent & Family Handbook and key policies.
I acknowledge that I have received and reviewed the Exploration Station Early Learning Institute Parent & Family Handbook. I understand that: I am responsible for the following institute policies. Pickup times must be respected. A $1.00-per-minute late pickup fee may apply. Repeated late pickups may affect continued enrollment. My child’s enrollment includes an introductory/two-week period when applicable. Continued enrollment is contingent upon adherence to institute policies and procedures.
Child’s Name

First NameLast Name
Parent/Guardian Name

First NameLast Name
Best Contact Phone
Please enter a valid phone number.Format: (000) 000-0000.
Email Address
example@example.com
Child’s Age / Date of Birth

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Desired Start Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Handbook Acknowledgment
Parent/Guardian Signature
Date (Parent/Guardian Signature)

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Institute Representative (for internal use)

First NameLast Name
Date (Institute Representative, for internal use)

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
How did you hear about Exploration Station Early Learning Institute?
Preferred days of care
Preferred hours of care
Any allergies or special considerations?
Questions or comments for our staff?
Should be Empty: