The Kid's Corral - Pre-Register for Savannah

REGISTRATION for the Savannah location

Enrollment is based on a first-come, first-served basis. Space is limited in all programs. Below are the requirements for registration. Please complete this on-line form so that a member of our staff can contact you with more information and space availability. We look forward to serving you and your child(ren)!

Upon registration, each child must have the following on file:

Completed admission form
Click here for a copy of the Admission Form.

Updated immunizations (provide copy from your child's doctor)

Health care statement from your child's doctor (Can be signed directly from admission form)

Parent Information *Required Fields

First Name *	Middle Name	Last Name *

Additional Parent Information (Spouse/Significant Other)

First Name	Middle Name	Last Name

Residence

Street Address *

City *	State *	Zip *

Contact Information

Home Phone *	Work Phone	Mobile Phone

E-mail *

E-mail (Secondary)

Child’s Information

First Name *

Middle Name

Last Name *

Child’s Gender *

Child’s Birthdate *

Enrollment Type *

Desired Start Date *

Second Child’s Information

First Name

Middle Name

Last Name

Child’s Gender

Child’s Birthdate

Enrollment Type

Desired Start Date

Additional Comments