ENROLLMENT for Care | The Wild Ones

Currently Enrolled with Little Vikings

YES

Guardian Name (If Applicable)

Fathers Name

Fathers Home & Cell Number

E-mail

Home Address

Fathers Employment and Number

Mothers Name

Mothers Home & Cell Phone Number

Home Address

Mothers Employment and Number

Childs Name

Childs Date of Birth

Potty Trained?

All known Allergies

Days to Attend Center

MONDAY

TUESDAY

WEDNESDAY

THURSDAY

FRIDAY

Please enter times for Drop off & Pick up

Submit

ENROLL NOW

27 Walnut Street Ashville Ohio 43103

740-954-3094

6:30am - 5:30pm