Step 4: Filling out the Enrollment Application
Now, we are ready to send you to the enrollment application form.
Please be aware that it may take up to 30-45 minutes to complete this form, and once you begin there are no options to stop and come back.
You are about to leave our website. You will need the following information handy:
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Work Addresses
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Persons authorize to pick up information (Phone numbers, addresses, etc..)
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Child’s Physician Information (Name, Address, Phone Number)
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Copy of Birth Certificate, Shot Records and Insurance Card (There will be a place for you to upload these documents on the online application form)