11510 E. 83rd St. N.
Owasso, OK. 74055
918-274-1511
Hours:
Mon - Fri 6am - 6:30pm
info@kkowasso.com
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To:11510 E 83rd St N
Owasso, OK 74055
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Kreative Kidz
Childcare Center
11510 E. 83rd St. N
Owasso, OK. 74055
918-274-1511ph
918-609-4933fax
Childcare Center
All rights reserved © Kreative Kidz 2012
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Please complete the following Mini form and your family information will be added to our files. Please keep in mind that a more extensive form will be given to you for enrollment and additional forms may be required for summer camp participation or school transportation. You will also need to provide immunization information for your child. This can be brought with you on your first visit or faxed to 918-609-4933. Thank you and we look forward to seeing you!
Mother's Name:
Address:
Employer:
Home/Cell Phone:
Work Phone:
Father's Name:
Address:
Employer:
Home/cell Phone:
Work Phone:
Email Address:
Children's Info:
Child 1 Name:
DOB:
School:
Child 2 Name:
DOB:
School:
Child 3 Name:
DOB:
School:
Child 4 Name:
DOB:
School:
Doctor's Name:
Doctor's Phone:
Emergency Contact: NOTE**we will not release your child to anyone not on your pick up list for any reason!
Contact 1 Name:
Contact 1 Phone:
Contact 2 Name:
Contact 2 Phone:
By submitting this form you understand that submission is not a guarantee of availability for your children. Upon acceptance and attendance to our facility you agree that you have read our policies and pricing and in the case of emergency and we are unable to locate you, or your designated contacts, you give Kreative Kidz permission to summon emergency services for your child.