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If you already have a store account, please log in. Old store accounts (made before August 2014) are no longer active.


Login Name:
Password:

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Create New Store Account

Please create an account using a distinct user name and password for each child. * indicates a required field.

Student Profile Information

* Login Name:
* Password:
* Verify Password:
* Is your child enrolled or enrolling in Daycroft in the 2016/2017 school year?
 

Because your child is not currently enrolled as a Daycroft student, we will need additional information. Please fill out the entire form below.

 

Parent/Legal Guardian Information

Parent/Legal Guardian #1
* First Name:
* Last Name:
* Relationship:
* Address:
* City:
* State:
* Zip:
* Phone:
Employer Name:
Work Phone:
Cell Phone:
* Email:
* School Directory:
What's this?
 
Parent/Legal Guardian #2
First Name:
Last Name:
Relationship:
Address:
City:
State:
Zip:
Phone:
Employer Name:
Work Phone:
Cell Phone:
Email:
School Directory:
What's this?
 

Voice Broadcast System

At Daycroft, we maintain two Voice Broadcast Phone Databases which we use for different purposes. One is to communicate school closings due to weather or other important information. The second is to communicate with you during school hours in case a local or national emergency occurs.

Since we communicate school closings at 6 AM, we are using home telephone numbers for this database. Please submit the phone number(s) that you would like us to use for the second database that will be used for daytime emergencies.

* Daytime Emergency Number
Secondary Daytime Emergency Number
 

Student Information

* First Name:
* Last Name:
* Home Phone:
* Address:
* City:
* State:
* Zip:
* Birth Date (mm/dd/yyyy):
* Student Grade at Fall 2017:
 

Snack Options:

As a health conscious school we limit treats with sugar to birthdays and special occasions only. View Snack & Candy Policy (PDF)

Please indicate below whether your child can have a special treat on birthdays or special occasions.

My child should be given a birthday treat.***

Yes

No

My child should be given a special occasion treat.***

Yes

No

*** Please make sure you tell your child about your decision.
 

* Emergency Permission

I give permission to Daycroft Montessori School, licensed by the Department of Human Services, to secure emergency medical and/or emergency surgical treatment for the above named minor child while in care.

Emergency Contact Information

Please provide contact information for a person who can make decisions for your child if the parent/legal guardian cannot be reached. Please note: This must be somebody other than a parent listed above.
Contact #1
* Name:
* Relationship:
* Home Phone:
* Work Phone
* Cell Phone:
 
Contact #2
Name:
Relationship:
Home Phone:
Work Phone
Cell Phone:

* Medical Information & Physical Health

I certify that the above-named child has been examined by a physician in the past two years and is found to be in good health.

Medical Conditions (allergies and health problems) - Please indicate if allergies are severe. If an epi-pen is required, one will have to be left at school.
 

My child has no known allergies.

My child has allergies. (Please explain below.)

My child has severe allergies. (Action plan will be sent to Daycroft.)

 
Current Medications
 
Immunizations

I certify that the above-named child is current on all immunizations and a record is on file at Daycroft Montessori School or will be given to Daycroft Montessori School before the start of the new school year.

I certify that the above-named child has not had immunizations and a signed waiver is on file at Daycroft Montessori School or will be given to Daycroft Montessori School before the start of the new school year.

Emergency Information

* Physician:
* Physician Phone:
* Hospital Preference:
* Health Insurance Company:
* Health Insurance Policy Number:

* Permissions, Releases and Acknowledgements

Photography/Recordings

External Uses – I grant permission to Daycroft Montessori School and its agents to publish, use and/or distribute photographs, slides and/or videos containing my child's image and/or voice in any media in conjunction with publicity; website; and/or fundraising efforts.

Yes
No
 
Photography/Recordings

Internal Uses – I grant permission to Daycroft Montessori School to use photographs, slides and/or videos containing my child's image and/or voice in any media in conjunction with classroom activities; staff, student and parent training; and yearbook.

Yes
No
 
Walking Trips - Occasionally we take walking field trips beyond Daycroft premises. We may walk to the fire station, park, hiking trails, etc. Sometimes these trips involve crossing streets. Teachers always let parents know ahead of time for longer trips.
Yes, I give consent to Daycroft Montessori School for my child to participate in walking field trips while in care.
No, I do not give consent to Daycroft Montessori School for my child to participate in walking field trips while in care.
 
Sunscreen - Please apply a first application of sunscreen at home during the summer months. If your child stays all day and you would like us to reapply, please send the original bottle of lotion with your child's name clearly written on it. Please select consent below:
Yes, Daycroft to reapply. My child should wear sunscreen while being outdoors and I give consent to Daycroft Montessori School staff to reapply sunscreen to my child.
Yes, Child to reapply. My child should wear sunscreen while being outdoors and I want my child to reapply his/her sunscreen.
No sunscreen. I do not want a Daycroft Montessori School staff member to reapply sunscreen to my child. My child should not wear sunscreen.
 
Pick-Up Permission
This must be someone other than a parent listed above.
* Name:
Name:
Name:
 
Release Statement
I agree to release Daycroft Montessori School and its staff from all responsibility for injuries during school or any activity held at Daycroft except for gross negligence.


How did you hear about Daycroft Summer Camps?

Your answer will help us determine the effectiveness of our communications efforts.

– What Daycroft family referred you to us?
– How did you receive this message?
– At what event did you see Daycroft?
– Where online did you find this information?
– Where did you see this ad or flyer?
– Where did you see this article?
– How did you hear about us?

Electronic Signature

The electronic signature below and its related fields are treated by Daycroft Montessori School like a physical handwritten signature on a paper form.

*    I verify that all the information provided is true and correct to the best of my knowledge.

*    I verify that I have read the student's handbook. (Download PDF)

*    I verify that I have read the licensing notebook requirement notice. (Download PDF)

* Electronic Signature (type name of parent/guardian):
 
* Date (mm/dd/yyyy):





You will be sent a confirmation email upon successful account creation.