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New Child Registration

Capture enrollment, medical information, and required documents for a new family.

🧒 Child Information

Full Name *Date of Birth *Sex OptionalChild's Social Security Number OptionalDesired Program *Desired Classroom Optional, can be assigned laterDesired Start Date *

👪 Parent / Guardian Information

Parent / Guardian Name *Email *Phone *Home Address *

🚨 Emergency Contacts

Name *Relationship

Phone *

🩺 Medical Information

Physician Name Physician Phone Insurance Provider Insurance Policy Number Allergies List allergies or write 'None'Medications Include dosage and schedule if applicableDietary Restrictions Other Medical Conditions / Notes

Immunizations are up to dateI authorize Sunshine Kids staff to seek emergency medical care for my child if I cannot be reached

📎 Required Documents

0/4 required uploaded

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Birth Certificate *

Required, no file uploaded yet

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Immunization Records *

Required, no file uploaded yet

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Physician's Health & Physical Exam Form *

Required, no file uploaded yet

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Parent/Guardian Photo ID *

Required, no file uploaded yet

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Health Insurance Card

Optional, no file uploaded yet

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Custody / Legal Documents

Optional, no file uploaded yet

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