Registration

Register Your Child Today for a Bright Future!

Sugar n Spice Daycare Center and Kindergarten is the premier daycare and kindergarten program in Hoover, Alabama. We offer a safe, nurturing, and educational environment for children ages 6 weeks to 6 years old. Our curriculum is designed to help children develop the academic skills and social-emotional skills they need to succeed in school and in life.

**This form is to be completed by the child's parent or guardian only.

Personal Information

Child's Full Name *

Name child is known by

Child's Birthday *

Parent Information

Mother Full Name *

Mother Cellphone Number *

Mother Employer

Mother Employer Number

Father Employer Number

Father Full Name *

Father Cellphone Number *

Father Employer

Emergency Contact

List all Person(s) to be contacted in an emergency if parents/guardian cannot be reached

Name *

Relation to Child *

Contact Number *

Name *

Relationship to child *

Contact Number *

Name of child's doctor *

Doctor Phone Number *

I give permission for the child care facility to obtain emergency medical treatment, including emergency transportation for my child if I can not be reached immediately . I agree to be responsible for any emergency expenses incurred. (If parent/guardian refuse to sign, instructions must be attached stating what procedure the facility is to follow in an emergency.)

signature *

Clear

Full Name *

Describe any Special Needs or Instruction

Permissions

I give permission for my child to participate in:

Permission: Activities away from facility *

Yes

Permission: Transportation provided by the facility *

Yes

Permission: Swimming/wading activities provided by the facility *

Yes

Signature *

Clear

I understand that the Department of Human Resources does not inspect activities away form the child care facility (home or center). The licensee of the child care facility assumes full responsibility for such activities.

Signature *

Clear

Additional Comments/Information

2237 Sumpter St.

Hoover, AL 35226

(205) 822-8581

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