Learning Ladder Registration

“Building each child’s success step by step”

Welcome to the Learning Ladder Day Care Center. We are looking forward to providing your child with an exciting early childhood experience.

The philosophy of the Learning Ladder Day Care Center is centered on meeting the developmental needs of all children. Programs are planned to meet each child’s individual emotional, social, cognitive and physical needs. By focusing on the whole child, in a hands-on learning environment, each child is able to grow to his or her fullest potential. A well educated and trained faculty and staff use the curriculum to nurture and facilitate growth during all stages of development.

Policy Statement 

Learning Ladder DayCare Center is open to all children regardless of race, creed, ability, sex or ethic origin.

A personal interview is required for admission to LearningLadderDayCareCenter.  The child should be in attendance during this interview.

In addition, the following documents must be completed:

  • Registration Application
  • Emergency Contact
  • Parent Contract
  • Emergency Medical Release Form
  • Developmental History
  • Signed Parent Handbook acknowledgement form
  • Walking Trip and Picture Release form
  • Medical form (including Health Department required immunizations) signed by a physician.
  • Non-refundable registration fee and one week deposit.

 No child will be admitted without completion of the required forms.

Registration Application

Child's Name: (required)

Child's Date of Birth: (required)

Sex: (required)
MaleFemale

Child's Address: (required)

City:

State:

Zip Code:

Child's Home Phone: (required)

Contact Email: (required)


Mother's Information

Name:

Address:

City:

State:

Zip Code:

Home Phone:

Cell Phone:

Work Address:

City:

State:

Zip Code:

Work Phone:

Occupation:


Father's Information

Name:

Address:

City:

State:

Zip Code:

Home Phone:

Cell Phone:

Work Address:

City:

State:

Zip Code:

Work Phone:

Occupation:


Permission

Field Trip/Walking Trip Permission:
Learning Ladder Day Care Center has my permission to take my child on field trips, neighborhood walking trips and to River Bay’s parks.Learning Ladder Day Care Center DOES NOT have my permission to take my child on field trips, neighborhood walking trips and to River Bay’s parks.

Picture Release Permission:
Learning Ladder Day Care Center has my permission to photograph my child and to permit photographs to be released for publication for the purposes of fundraising or public relations.Learning Ladder Day Care Center DOES NOT have my permission to photograph my child and to permit photographs to be released for publication for the purposes of fundraising or public relations.


Emergency Contact Information
Emergency Contacts: (This person must be available during the day)

Contact 1: (required)

Name:

Phone:

Relationship:

Contact 2:

Name:

Phone:

Relationship:

Contact 3:

Name:

Phone:

Relationship:

Persons authorized to pick up child (must be at least 18 years old)

1: (required)

2:

3:

4:

Persons NOT authorized to pick up child

1:

2:

Physician Information:

Name of Physician/Clinic: (required)

Phone: (required)

Learning Ladder Day Care Center must be notified in writing of any changes to information on this form.


Agreement:

Signature: (required)

Date: (required)

By typing my name in the signature field above and submitting this form, I agree to the Learning Ladder Policy Statement and that all info entered was done so truthfully & accurately.

Completing the agreement portion of this form will enable the Submit button