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.

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  You are about to leave our website. You will need the following information handy:

• Work Addresses

• Persons authorize to pick up information (Phone numbers, addresses, etc..)

• Child’s Physician Information (Name, Address, Phone Number)

• 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)

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