Seedlings Owl Day / Enrollment - Sunflower Creative Arts

Parent One First Name

Parent One Last Name

Parent One Email

Parent One Phone

Parent One Occupation

If stay at home parent please list prior occupation

Parent One Employer

If stay at home parent please list prior employer

Please check if there is only one parent/guardian

No second parent/gaurdian

Parent Two First Name

Parent Two Last Name

Parent Two Email

Parent Two Phone

Parent Two Occupation

If stay at home parent please list prior occupation

Parent Two Employer

If stay at home parent please list prior employer

Address 1

Address 2

City

State

Zip code

Child's First Name

Child's Last Name

Name child goes by (given or nickname)

Child's Birth Date

Placement

I accept the placement I have been offered for my child through the email I received from Sunflower.

I accept the placement I have been offered for my child BUT I would also like to be placed on the waitlist for the following session or combo of sessions.

I decline the placement, but I would like to be placed on the waitlist for the following session or combo of sessions.

I decline the placement offered to above child and don’t want to be waitlisted for any sessions.

I accept PART of the placement offered. Please indicate which of the sessions you were offered placement in you would like to accept.

You will receive an email confirmation if you do not receive one please contact us
email: [email protected] - phone: 561 501-6615

Who will be fulfilling your family's helper shift duties?

You may have multiple family members (and nannies or babysitters) do helper shifts as long as each of these people:

1. Has completed the helper training
2. Is CPR and first aid certified
3. Has submitted an FDLE background check
4. Has completed all required paperwork

Helper one name:

Helper one phone:

Helper one email:

Helper one relationship to Seedling?

Helper two name:

Helper two phone:

Helper two email:

Helper two relationship to Seedling?

I will have a third, fourth, fifth... person doing helper shifts (I need lots of forms)

Please help us get to know your family better by providing the following details. Thank you

First Name of sibling number one

younger or older sibling of child you are enrolling

Birth Date of sibling number one

First Name of sibling number two

younger or older sibling of child you are enrolling

Birth Date of sibling number two

First Name of sibling number three

younger or older sibling of child you are enrolling

Birth Date of sibling number three

Is there anyone else that you haven't already listed above who is important to your child that we should know about?

May we share your contact info (emails and phone numbers) with other current Seedlings families?

Yes No

Additional Program Acceptance Requirements
In order to be accepted into the Seedlings program, parents must fulfill the Enrollment Requirements, plus:

Enrollment Policy

Seedlings is a unique educational program stemming from specific philosophy and a core set of beliefs about
child development and the social, emotional and environmental needs of young children. For Seedlings to be effective, both parents (or guardians) must be supportive of the methods and goals of the program.
Consequently Sunflower Creative Arts reserves the right to refuse admission to any family that we believe is not truly supportive of our model. While this decision is always hard we firmly believe that it is in the best interest of the child, the family, and the health of Sunflower’s programing.

Photo/Video Release

I accept

I do NOT accept

I Accept

Seedlings Enrollment