Enrollment Form - Jasmin Child Care & Preschool

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Home
About
- Our Story
- Our Philosophy
Gallery
Enrollment
CPR-First Aid Training
Donate
Contact Us
- Contact Us Form
- Employment

I am interested in enrolling my child into programming at Jasmin Child Care.

INITIAL ENROLLMENT FORM

PARENT / GUARDIAN INFORMATION

* Indicates required field

Name of Parent or Guardian *

First

Last

Address *

City *

Phone Number *

Email *

CHILD #1 INFORMATION

Child #1 - Name and Program *

First

Last

Choose the appropriate program: *

FULL-TIME: Infant Program (6 weeks to 12 months) FULL-TIME: Toddler Program (1 year to 2 years) FULL-TIME: Preschool Program (3 years to 5 years) FULL-TIME: School Age Program (5 years and up) PART-TIME: Infant Program (6 weeks to 12 months) PART-TIME: Toddler Program (1 year to 2 years) PART-TIME: Preschool Program (3 years to 5 years) PART-TIME: School Age Program (5 years and up)

Choose the hours you will need services: *

Standard Hours: 7am - 5:30pm Extended Hours: 7pm - 6am

Additional Information about this child: *

CHILD #2 INFORMATION

Child #2 - Name and Program *

First

Last

Choose the appropriate program: *

FULL-TIME: Infant Program (6 weeks to 12 months) FULL-TIME: Toddler Program (1 year to 2 years) FULL-TIME: Preschool Program (3 years to 5 years) FULL-TIME: School Age Program (5 years and up) PART-TIME: Infant Program (6 weeks to 12 months) PART-TIME: Toddler Program (1 year to 2 years) PART-TIME: Preschool Program (3 years to 5 years) PART-TIME: School Age Program (5 years and up)

Choose the hours you will need services. *

Standard Hours: 7am - 7pm Extended Hours: 7pm - 7am

Additional information about this child: *

CHILD #3 INFORMATION

Child #3 - Name and Program *

First

Last

Choose the appropriate program: *

FULL-TIME: Infant Program (6 weeks to 12 months) FULL-TIME: Toddler Program (1 year to 2 years) FULL-TIME: Preschool Program (3 years to 5 years) FULL-TIME: School Age Program (5 years and up) PART-TIME: Infant Program (6 weeks to 12 months) PART-TIME: Toddler Program (1 year to 2 years) PART-TIME: Preschool Program (3 years to 5 years) PART-TIME: School Age Program (5 years and up)

Choose the hours that you will need services: *

Standard Hours: 7am - 7pm Extended Hours: 7pm - 7am

Additional Information about this child: *

Any other information that you would like to share: *

Submit

Our Partners

Jasmin Child Care and Preschool
4720 7th Ave S., Suite E, Fargo, ND 58103

Telephone:
Office: 701.281.6025
Enrollment: 701.415.6725

Fax:
701.248.1878

Operating Hours:

Monday - Friday
7:00 AM - 5:30 PM

Overnight Hours
6:00 PM - 11:30 PM

Questions? Contact us below.

* Indicates required field

Name *

First

Last

Email *

Comment *

Submit

Home
About
- Our Story
- Our Philosophy
Gallery
Enrollment
CPR-First Aid Training
Donate
Contact Us
- Contact Us Form
- Employment