★★★★ Pennsylvania Keystone STARS · 4 of 4
Mon–Fri · 7:00 AM – 6:00 PM
215-559-7799
kidsworldabington@gmail.com
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Children's
Pre-Enrollment
Form
Fill out the form below to begin your child’s enrollment at Kids World. We’ll follow up within 1 business day.
Child's Information
CHILD'S NAME
DATE OF BIRTH
CHILD'S SEX
Select
MALE
FEMALE
HOME ADDRESS (STREET)
CITY
STATE
ZIP CODE
PHONE NUMBER
Father's Information
FATHER'S FULL NAME
FATHER'S PLACE OF EMPLOYMENT
EMPLOYER'S ADDRESS (STREET)
CITY
STATE
ZIP CODE
WORK PHONE
Mother's Information
MOTHER'S FULL NAME
MOTHER'S PLACE OF EMPLOYMENT
EMPLOYER'S ADDRESS
CITY
STATE
ZIP CODE
WORK PHONE
Living Arrangements & Guardianship
Child’s Living Arrangements
BOTH PARENTS
MOTHER
FATHER
OTHER
Child’s Legal Guardian(s)
BOTH PARENTS
MOTHER
FATHER
OTHER
Health Information
CHILD'S DOCTOR OR CLINIC NAME
DOCTOR/CLINIC PHONE #
MY CHILD HAS THE FOLLOWING SPECIAL NEEDS
Medications, Preexisting Illnesses, Allergies, or Health Concerns
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PRE-ENROLL
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