Summer 2019 Enrollment Form

Any court orders or custody agreements?*

Yes No

If yes, please submit a copy to admin@givingtreeschool.org

Will your child be attending with a friend?

Yes No

Is your child toilet trained?*

Yes No In Process

(Does not impact enrollment)

Any individual health plan for a chronic condition*

Yes No

If so- please explain:

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Will Giving Tree need to administer or keep any medications on hand for your child (such as epi pen, inhaler, or other prescription or over-the-counter medication)?

If so- please explain:

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Any developmental delays or challenges?*

Yes No

If so- please explain:

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Best number to call in case of emergency*

Please list two non-parent emergency contacts (in case parents cannot be reached):

Anything else we should know?

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Payment method*

Check (preferred method) - mail to Giving Tree School Credit Card (via PayPal)

If paying by check, please submit payment to:

Giving Tree School - Summer Program
Attn: Haley Anderson
3 Wood Ave, Gill, MA 01354

All payments must be paid in full to secure enrollment. Absences and emergency cancellations are non-refundable. Payment is refundable only if the week is cancelled.

Please review what you entered before you click the Submit button, and click it ONLY ONCE.