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2024-25 Registration Form
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Today's Date
STUDENT INFORMATION
Student's First Name:
Student's Middle Name:
Student's Last Name:
What grade is your student:
Current grade level
Pre-K
Kindergarten
First Grade
Second Grade
Third Grade
Fourth Grade
Fifth Grade
Date of birth:
Current age of student:
What is the name of school?
School dismiss time?
School dismiss time on short days?
Tell Us Which Days You're Interested In Signing Up?
Monday
Tuesday
Wednesday
Thursday
Friday
Home street address:
Unit/Apt:
City:
State:
Zip:
Home Phone:
Mother's cellphone:
Father's cellphone
Food allergies?
Learning disabilities:
-Select-
None
Dyslexia
ADD
ADHD
Autism
Other
Other medical conditions
PARENT OR GUARDIAN INFORMATION
Mother's first name:
Mother's last name:
Mother's email address:
Mother's occupation:
Father's first name:
Father's last name:
Father's email address:
Father's occupation:
Whom does the child live with?
-Select-
Both Prents
Mother
Father
Other
If other, please specify who:
Who is child's legal guardian?
-Select-
Both Prents
Mother
Father
Other
If other, please specify who:
Who is responsible for tuition?
-Select-
Both Prents
Mother
Father
Other
If other, please specify who:
Let us know who can pick up the child?
-Select-
Both Prents
Mother
Father
Other
If other, specify who can pick up your child:
Did/do other siblings attend Sonia Kids Center?
-Select-
Yes
No
How did you hear about Sonia Kids Center?
-Select
Online Ad
Facebook
LinkedIn
Next Door
School Board
Google Search
Other
By signing below, I acknowledge that I have read and understand the
Sonia Kids Center’s policies and procedures
and that I agree to adhere to these policies and procedures, including but not limited to data privacy, tuition, refund and safety measures.
Please sign this form by typing your name.
First Name:
Last Name:
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