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Busy Bees Student Information Form

You are here: Home1 / Busy Bees Preschool2 / Busy Bees Student Information Form

Thank you for completing this Student Information Form.

This information helps us provide a great experience for your child here at Busy Bees Preschool.

Student's Name(Required)

First Last

Class(Required)

Ones

Twos

3K

4K

Field Trip Permission for 3K/4K

Yes, I give permission for my child to participate in field trips throughout the school year.

No, I do not give permission for my child to participate in field trips. I understand that I will be given prior notice of all trips.

Student's Birthday

MM slash DD slash YYYY

Please list the student's allergies.

Is this student potty trained?(Required)

Yes

No

Please let us know what you are doing at home to encourage potty training so that we can continue your efforts during school hours.

Security and Contact Information

Family Password or Code Word

Please list the people who are allowed to pick your child up from preschool.

Primary Parent's Name

First Last

Primary Parent's Phone

Primary Parent's Email

Secondary Parent's Name

First Last

Secondary Parent's Phone

Secondary Parent's Email

Emergency Contacts (other than parents):

Emergency Contact #1

First Last

Phone

Emergency Contact #2

First Last

Phone

Emergency Contact #3

First Last

Phone

Emergency Contact #4

First Last

Phone

Payment Preferences

Please note your preferred payment method.(Required)

Cash or Check

PayPal

PayPal Account Email Address(Required)

Note: There will be a $5.00 convenience fee for all PayPal payments.

Other Preferences

Photo Release

Yes, I give permission for my child’s photograph/video to be posted on the Busy Bees website and/or Facebook page and local newspaper.

No, I do not give permission for my child’s photograph/video to be posted on the Busy Bees website and/or Facebook page and local newspaper

Substitute Teaching

Yes, I am interested in being a substitute teacher at Busy Bees.

No, I am not interested in substitute teaching.

Pre-Order Your Child's Memory Book Today!

Yes, I would like to pre-order a memory book for $40.00.

No, I would not like to pre-order a memory book.

Important Required Information

Parent Handbook Agreement(Required)

Click here to access the Busy Bees Parent Handbook.

I have read and agree to the terms and guidelines stated in the Parent Handbook for Busy Bees Preschool.

Immunization(Required)

Immunization records or exemption letters must be submitted to the preschool office by the first week of school.

I understand and agree to providing this information.

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