Childcare Registration

Family Information
Families will be asked to complete an official calendar sign up in August, where they will begin to sign up two weeks in advance.
Family Name*
Address*
Street Address Address Line 2 City State ZIP Code
Email*
Home Phone
Cell Phone #1
Relationship*
Cell Phone #2
Relationship*
Work Phone #1
Relationship*
Work Phone #2
Relationship*
Parent Signature*

Because our programs are not licensed to provide snacks, it is necessary for the parents to provide drinks and nutritional snacks for their children. This agreement, when signed, assures the school that the parents will be sending a nutritional snack/drink with their child every day that he/she is in Childcare/Preschool.
Parent's Initials*
I have read and fully understand the rules and requirements established by St. Anthony Preschool/Childcare. The handbook and childcare overview can be found on our website www.saparish.com or a copy can be requested.
Parent's Initials*
I am aware that St. Anthony Childcare/Preschool has a Parent Licensing Notebook that contains all licensing inspections, renewal inspections, special investigations, and corrective action plans from May 2010 to the current date. I am also aware that the licensing inspection and special reports from at least the last two years are available on the DHS Childcare Licensing website at: www.michigan.gov/michchildcare.com.
Parent's Initials*

Child Wellness Form
This wellness statement ensures that all school-age children participating in the Childcare/Preschool program are in good health, have up-to-date immunizations, and are able to participate in daily activities provided by the program.
If there are any restrictions, special needs, or allergies, please state the child’s name below along with any health concerns. If there are none, please type none. Each child will need to have their own wellness form. Click the (+) symbol to add another child.*
Child's Name Health Restriction

If there are any restrictions, special needs, or allergies, please state the child’s name below along with any health concerns. If there are none, please type none.
Each child will need to have their own wellness form.
Click the (+) symbol to add another child.

State of Michigan – Department of Licensing and Regulatory Affairs
Click use the link to access the State of Michigan Childcare form. This form must be printed, filled out, and returned to the school office. https://saparish.com/school/wp-content/uploads/sites/3/2021/08/State-of-Michigan-Childcare-Info-Licensing-Copy.pdf
CAPTCHA

Our Calendar

Child's Name	Health Restriction