Infant (0-1Y)

APPLICATION FOR ADMISSION FOR THE 2025-2026 SCHOOL YEAR

Thank you for your interest in Kids' Canvas! Please fill out the form below to help us get to know your child.

Child's First NameChild's Last NameNickname (if any)GenderDate of BirthHome AddressCity & Zip

Parent/Guardian 1 Information

First NameLast NameOccupationPlace of BusinessCell PhoneEmail

Parent/Guardian 2 Information

First NameLast NameOccupationPlace of BusinessCell PhoneEmail

Yearly tuition and commitment is for 10 months from September through June.
Tuition will be prorated for the start date.
To reserve your spot, a non-refundable deposit of $3000 is due upon acceptance into the program.
The remaining payments will be due in 3 equal installments.

Please check your preferred schedule:

Regular day runs from 9:00 AM - 3:00 PMExtended day runs from 3:00 PM - 6:00 PMEarly drop off 8:00 AM - 9:00 AMWill you be applying for financial aid?

This application must be accompanied by a non-refundable $45 fee (the fee can be electronically invoiced and paid online).
Credit card payments will incur a 3% processing fee.

Please help us get to know your child by answering the following questions:

Has your child had any experience with group care? If so, please describe:How does your child react to new situations, children and adults?Child’s favorite activities and toys?Does your child have any fears?Were there any birth complications that we need to be aware of?Does your child: Crawl, Walk with support, Walk without support?Does your child: Say audible words? Speak in 2 or 3 simple sentences?Do you have any developmental concerns about your child?How does your child communicate their needs?List of Allergies & Known Reactions: Does your child have a special need? Have they been evaluated privately or by Early Intervention for: Occupational Therapy, Speech therapy, Physical Therapy, Feeding Therapy?Is there anything we need to know about your child to ensure they are well supported by the staff?Please tell us any traditions or family customs that will help us make your child’s time at Kids’ Canvas more meaningful. Please include any languages spoken at home: To help us better understand your family and care for your child, please explain your parenting philosophy: What do you, as a family, hope to get out of this childcare experience?

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APPLICATION FOR ADMISSION FOR THE 2025-2026 SCHOOL YEAR

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