LM at CBA Application Form

LMMP at CBA & HABC Application Form 2023-2024

Child Full Name

Date of Birth

Gender

Phone

Street Address

City

State

Parent(s) or Guardian's full name, (if guardian, please write the relationship to the child)

Please, list the names of the two persons in the local area who will accept responsability for the care of your child if you cannot be reached

Throughout the year, we take children's pictures and videos. We would like to use some of these pictures or videos on our school's website, brochure and school social media pages. Please indicate your permission to put your child's pictures.

Yes

Pick up Policy - Only Mom or Dad, or the pleople listed above as having parental permission, will be allowed to pick up your child. Any other arrangement, either temporary or permanent, must be given in writing. In case of a last minute emergency, parent must call the CBA office, an the message will be relayed to your child's teacher. A picture ID is required for anyone other than a parent.

Registration is completed when:

Application is signed (Print your name)

Handbook agreement for parents is read

Registration fee is paid

Signature (Your signature legally confirms that all of the information you have provided is accurate

Thanks for submitting!