Wee Wisdom – Nursery School & Child Care Center

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Your Educated Choice 765-284-8605

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Enrollment Application

Step 1 of 22

0%
  • (First Day of Attendance)
  • Child's Information

  • (As it appears on birth certificate)
  • NameAge 
    Click on the "+" symbol to add additional children.
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  • Parents' Information

  • (If Different than Child's)
  • (If Different than Child's)
  • Contact Information

    Please provide us with ONE current email address and ONE cell phone number per family. By having this information available, we will email and/or text you important updates, documents, newsletters, menus, etc. directly.

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  • Emergency Contacts

  • In the event of an emergency situation, the parent(s)/guardian(s) listed on page E-3 will be notified first. In the event that neither parent can be reached at the numbers listed, the parent has authorized Wee Wisdom to contact the individuals listed below in the order in which they are listed.

  • (You Must List AT LEAST three (3) contacts.)
    Full Name (First/Middle/Last)Relationship to ChildDaytime PhoneOther Phone 
  • Doctor's NameOffice Address (Address, City, Zip)Office Phone 
    Click on the "+" sign to add additional physician information.
  • Doctor's NameOffice Address (Address, City, Zip)Office Phone 
    Click on the "+" sign to add additional physician information.
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  • Authorization of Pickup

  • By checking each box, you acknowledge that you have read each statement and agree to these statements:
  • NameRelationship to ChildDaytime PhoneOther Phone 
    Click on the "+" icon to add additional people.
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  • About My Child

    Development & Behavioral Checklist
  • The following checklist is designed to help us get to know your child before his/her start date.

    Please select those skills your child has already mastered. If your child has not yet completely mastered the skill listed, please do not check the box. Thank you!

  • Communication

  • Eating & Drinking

  • Toileting:

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  • Fine-Motor Activities

  • Gross Motor Skills

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  • Resting & Napping

  • Playing with Others

  • Additional Behavior Information:

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  • Please take this time to write down information about your child. Any information that you can provide to us will hopefully help with your child's transition into our Wee Wisdom family!
  • In addition, please list any concerns that you may have regarding your child's transition into Wee Wisdom.
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  • Intake Agreement

  • State Licensing Law: Public Law 12

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  • Prohibited Items at Wee Wisdom

  • These items include but are not limited to:
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  • Agreement/Compliance Acknowledgement

  • By checking the boxes below, I acknowledge reading each statement & agree to abide by these policies:
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  • Agreement/Compliance Acknowledgement (Continued)

  • By checking the boxes below, I acknowledge reading each statement & agree to abide by these policies:
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  • Agreement/Compliance Acknowledgement (Continued)

  • By checking the boxes below, I acknowledge reading each statement & agree to abide by these policies:
  • Pool Use

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  • TOILET TRAINING

    (Sign here only if the above enrollee is not currently toilet-trained)
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  • Parent Volunteer Form

  • Parent Sign-Up

  • Please check all that apply.
  • Please check all that apply.
  • Thank you for volunteering to help with our parties! Your participation will help make our parties special! Your time and efforts are very much appreciated!
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  • Special Dietary Needs/Requirements

  • NOTE: If a food allergy is present, Wee Wisdom reserves the right to request that parents furnish all foods for their child(ren). If this applies, please read/sign below.
  • NOTE: If a food allergy is present, Wee Wisdom reserves the right to request that parents furnish all foods for their child(ren). If this applies, please read/sign below.
  • Food Transportation Agreement

  • SAFE TRANSPORTATION OF FOOD RESPONSIBILITY

    Food must be brought to the center in clean, insulated, and sanitized containers, which keeps cold food at 41 degrees F., or below and hot food at 135 degrees F., or above.

    Upon receiving the food fro the parent, the center shall verify the temperature of the food. When potentially hazardous food temperature is not correct, the center WILL NOT ACCEPT THE FOOD.

  • Due to medical reasons documented and attached from my child's physician, I, parent of the student listed at the top of this page, will provide food for my child on a daily basis. As the parents, I take full responsibility for the safety of food preparation, the selection of the food, the storage and transport of the food to Wee Wisdom.

    Since I am providing food for my child to eat each day, I assume full responsibility for the nutritional needs of my child.

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  • Nursery School Selection

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  • Child Care Choice: August-May

  • (August-May)
  • Check all that apply
  • Please list in a four (4) hour block. For example: Monday 11a-3p.
    Day of WeekHours 
  • Child Care: Summer

  • (Summer)
  • Check all that apply
  • Please list in a four (4) hour block. For example: Monday 11a-3p.
    Day of WeekHours 
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  • Transportation Needs K-6

  • Name of School
  • Name of School
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  • Payment Options

  • If your child attends nursery school exclusively, payments are due monthly on the first of each month.

    If your child attends nursery school and child care, you have three options for payment:

    • Weekly: Payment due on or before Friday of each week or the last day child is scheduled to attend each week.
    • Bi-Weekly: Payment due on or before Friday of each week or the last day child is scheduled to attend each week. You must pay 1 week in arrears and 1 week in advance.
    • Monthly: You will be billed the third week of every month for the upcoming month Payments due on or before the 1st of each month in advance of services.
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  • Security System Agreement: Use of Key FOBS

  • Please read each item and select box to indicate that you understand and will abide by these rules.
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  • Insurance Information

  • CURRENT INFORMATION ABOUT YOUR CHILD'S HEALTH INSURANCE COVERAGE IS REQUIRED FOR TREATMENT IN AN EMERGENCY:
  • (Example: If the policy is carried by the father, list the father's full name."
  • In the case of a medical or dental emergency, Wee Wisdom has identified IU Health/Ball Memorial Hospital as the "facility of intent" for emergency services that may be needed.
    On Enrollment Form E-4, the parents/guardians of all enrollees have signed consent for emergency treatment and trasnsport to IU Health Ball Memorial Hospital IF NEEDED. This form has been notarized and is on file to use in the event of an emergency that requires immediate medical or dental attention.
  • Please list and describe any known medical or developmental problem or other conditions that might require special care in an emergency. [Examples include, but are not limited to: Allergies (environmental, food, medication, other); Asthma, Seizures; Orthopedic or Sensory Problems; and other Chronic Conditions, including conditions that require regular medication or technology support.]
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  • Family Album

  • (Please describe.)
  • (Please describe.)
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  • Family Pictures & Descriptions

  • Please upload pictures that your child can share with the class. Pictures may include family members, pets, family vacations, customs, celebrations, etc.

  • Max. file size: 32 MB.
  • Max. file size: 32 MB.
  • Max. file size: 32 MB.
  • Max. file size: 32 MB.
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  • Test page
  • Enrollment Application

Paths to Quality
Indiana’s Highest Ranking

State Licensed
Child Care Center

Nationally Accredited
through NAEYC

On My Way
Pre-K

CCDF Vouchers
Accepted

Monday – Friday 7:00am – 5:30pm
315 N. Morrison Rd., Muncie, IN 47304

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