All information must be complete in order for your child to be admitted into our program.

2018/19 KOALA KARE STUDENT REGISTRATION FORM

STUDENT INFORMATION

calendar
Second Child
calendar
Third Child
calendar
Fourth Child
calendar

CARE SCHEDULE

calendar

PARENT/GUARDIAN INFORMATION

EMERGENCY CONTACT INFORMATION

State law requires that we have emergency contact information for your child.  THIS INFORMATION MUST BE DIFFERENT FROM THE PARENT OR GUARDIAN.   Your child will not be admitted into our program if this information is left blank or is the same as the parent or guardian.
Updated 7/22/2018