Dear Families,
It is a pleasure to welcome you and your child to Mi Nuevo Mundo. We are very happy and proud of the important work that has been accomplished and the excellent achievements we have attained with all our children. These successes are the direct result of our institution, teachers, and parents working together toward common goals — helping our children become caring, responsible, and productive citizens. At our school, we understand how interested you are in the experiences your children will have this school year. We look forward to working together with you to meet their needs. Every child is unique, and each grows and learns at their own pace.

‍

Our Approach to Education
‍We uphold high educational standards within a nurturing and supportive environment.
Our focus is to provide a stimulating early childhood experience that promotes each child’s social-emotional, cognitive, language, and physical development. We teach our children with love, respect, and discipline.
‍

Toddler Registration Form

Date

Child's Name

D.O.B.

Gender

1st Parent's Name

E-mail

STREET

CITY

STATE

ZIP CODE

Home Phone:

Cell Phone:

Employer's Name:

Work Phone:

2nd Parent's Name

E-mail

STREET

CITY

STATE

ZIP CODE

Home Phone:

Cell Phone:

Employer's Name:

Work Phone:

How many people live at home?

Does your child have siblings?

What are their ages?

Who does your child reside with?

Does your child reside in 1 or 2 households?

Who has taken care of your child until now?

EMERGENCY CONTACTS:

Please indicate the name, telephone number and relationship of four family members or friends that we may reach in case of an emergency. The emergency contacts must be able to pick-up your child from the center if you are unable to do so. Your child will not be released to any other person. These people must bring identification when picking up your child.

These phone numbers cannot be the same as those listed above.

1. NAME:

Relationship:

Telephone:

2. NAME:

Relationship:

Telephone:

3. NAME:

Relationship:

Telephone:

4. NAME:

Relationship:

Telephone:

5. NAME:

Relationship:

Telephone:

Start Date:

Child's Name:

How did you hear about us?
OnlineWalk InOther Family

Medical Information

Doctor's Name:

Address:

Telephone Number:

Type of Birth:

Other Medical Problems:

Has Your Child Been Hospitalized?

What For?

For How Long?

Allergies?

Explain:

Asthmatic?

Any other condition, therapy or recovery?

Has your child ever been evaluated?

If so, what was the Diagnosis?

Does your child have their immunizations updated?

Does your child have the COVID-19 vaccine?

Eating Habits

What time does your child eat? (Check all that Apply)BreakfastLunchDinner

Does your child use utensils?

He/She eats everything by his/herself?

He/she eats everything with Assistance?

He/she eats some food, with help?

He/she must be motivated to eat?

What is your child's favorite foods?

Least Favorite Food?

Social/Emotional Development

Does your child separate easily from you?

Is your child afraid of anything?

Does your child have a favorite toy, blanket, bottle or soother?

Does your child spend time with other children?

What is your child's normal behavior?

What activities does your child enjoy?

What activities does your child dislike?

How do you handle discipline at home?

When my child has a fever during school hours, pleaseGive him/her cool compresses to reduce fever until I pick him/her up.Any other reccommendations:

Student's Safety

● Please note that we are mandated by law to report any suspicion of child abuse or maltreatment by a parent, guardian, custodian, or other person legally responsible for the child to ACS.
● EMERGENCY:
In case of an emergency, I/ we, the parent(s)/ guardian(s), of

authorize Mi Nuevo Mundo to seek any immediate attention that may be required.

Thank you! Your submission has been received!

Oops! Something went wrong while submitting the form.