Huntersville Family Fitness & Aquatics

Membership

Trial Offer Promotional Offer Day Passes Corporate Membership

Fitness

Personal Training Group Ex Triathlon Training Race & Triathlon Events Basketball & Volleyball Leagues Gymnasium Open Court

Aquatics

50M 25Y Outdoor Family Fun Pool Aqua Aerobics Carolina Dive Academy Swim Meets Lane Rental Swim Lessons Carolina Synchro

Children's Services

Childwatch Here2Grow Preschool Afterschool Fit Kidz Aquatic Night Out/Preschool Night Out Youth Programming Birthday Parties Summer Camp

Events/Facility Rental

Facility Rental HFFA Premier Events Birthday Parties Swim Meets Lane Rental

Preschool Enrollment

Application for Here2Grow Preschool Enrollment

Age Group

Days Attending

Monday Tuesday Wednesday Thursday Friday

Select Year :

2011-2012 2012-2013

Child’s Last Name

Child’s First Name

Child’s Middle Name

Name you wish your child to go by

Child’s Birth Date:

(MM/DD/YYYY)

Mother’s Name

Father’s Name

Address

City

State

Zip

Home Phone

Mom’s Cell Phone

Dad’s Cell Phone

Mom’s Work Phone

Dad’s Work Phone

Family Email Address

Additional Email Address

Mother’s Occupation/ Employer

Father’s Occupation/Employer

Name and date of birth of brothers and sisters:

(Fill in Name)

Birth (MM/DD/YYYY)

Please give any information concerning your child, which will be helpful in his/her experience in group settings (such as play, eating and sleeping habits, special fears, special likes or dislikes).

Are there special health conditions we should know about? For example, allergies or activities that should be avoided?

What are your child’s favorite toys or play materials?

Are immunizations current?

YES NO

Would you like to be included in a classroom directory for families? YES NO

Are you interested in serving on the parent advisory board? YES NO

May we communicate to you via e-mail?

YES NO

Special Requests or Recommendations:

Emergency Care Information

Name of child’s doctor

Office Phone

Address

Name of child’s dentist

Office Phone:

Address

Hospital preference

Phone

If neither father nor mother (or guardian) can be contacted, call:

Name

Home Phone

Office

Relationship to Child

Name

Home Phone

Office

Relationship to Child

If you cannot pick-up your child, please give the names of persons to whom the child can be released:

Emergency Action Release and Consent to Treat

I give HFFA and the Here2Grow Preschool team members permission to treat or authorize treatment on behalf of my child in the event emergency medical care is needed. I understand that when possible, every attempt will be made to reach me or my emergency contacts prior to treatment. I understand that HFFA and it’s employees will call for and authorize emergency care in my absence if necessary.

For questions on your application and confirmation of application & registration status, how would you like to be contacted?

Verification Code

Type Verification Code