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The Wonder Years Academy

FANWOOD
133 South Ave.
Fanwood, NJ 07023
908-222-8992

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Enrollment Application

FANWOOD

133 South Ave.

Fanwood, NJ 07023

908-222-8992

APPLICATION FOR REGISTRATION

Child's Name:

Male/Female Date of Birth:

Address:

Home Telephone:

Parent One:

Employer's Address:

Cell Phone

Business Phone:

Parent Two:

Employer's Address:

Cell Phone

Business Phone:

Please list names and ages of any siblings or any other persons living in the household:

Please describe any medical, physical or other problem your child may have. Please list all allergies.

If the school feels the services of a physician are required, the following physician is authorized to examine and treat my child:

Doctor's Name:

Address:

Phone:

Health Insurance Carrier:

Policy/Group#:

I authorize The Wonder Years Academy to seek medical assistance for my child if unable to reach both parents:

If The Wonder Years Academy is unable to reach either parent by phone, the following individuals are authorized to take my child

Name:

Address:

Phone:

Relation:

Name:

Address:

Phone:

Relation:

Name:

Address:

Phone:

Relation:

Where and when has your child had other school or group experiences? How did your child react to these situations:

Does your child know how to use the bathroom?

Yes

No

Does your child wash and dress him or herself?

Yes

No

Will your child participate in the lunch program?

Yes

No

Enrollment schedule (hours and days) requested are:

Type of Care Requested:

Before School Care (AM Care)

After School Care (PM Care)

BOTH

Full-time

Part-time

Requested Start Date:

How were you introduced to our facility?

Code Word and PIN:

I have read the following policies:

“The Information to Parents” Statement

“The Wonder Years Academy Discipline Policy”

“The Wonder Years Academy Expulsion Policy”

"The Wonder Years Academy Illness Policy” (including the Communicable Disease Page)

"Methods of Parental Notification & Social Media Policy"

I have read the following policies:

"The Wonder Years Academy Illness Policy” (including the Communicable Disease Page)

"Methods of Parental Notification & Social Media Policy"

Free Text

All registrations must be accompanied by the non-refundable registration fee and a deposit equal to one-half month’s tuition. The registration fee and deposit ensure that we will reserve the space requested if available upon receipt. Four weeks notice is required for all changes to your child’s schedule. Four weeks notice must also be provided for withdrawal from our program. If four weeks notice is not provided, the tuition deposit is forfeited. Tuition is due no later than the 5th day of each month. No credits will be provided for vacations or time off including missed days.

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Fanwood: 908-222-8992

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The Wonder Years Academy

133 South Ave

Fanwood, NJ 07023

Thewonderyearsacademyfanwoodnj@gmail.com

908-222-8992

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