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  • Home
  • Programs & Resources

      Resources for Parents

      • Parenting Classes in English and Spanish
      • Kelly Early Education Center
      • Nurse-Family Partnership
      • Parents as Teachers
      • Well-Child and Family Care services at El Rio Health Clinic

      Behavioral Health

      • Behavioral and Mental Health Services
      • Get Help
      • Groups and Classes
      • School Based BHS Programs
      • VOCA- Victims of Crime Act

      Foster Care and Family Reunification Services

      • Foster Care and Adoption Services
      • Supervised Visitation Services
      • Family Connection and Nurturing Parenting and SENSE
  • How to Help
    • Make a Gift
    • Monthly Giving Program
    • Foster Parenting
    • Other Ways to Help
    • 2022 Holiday Wish List
    • Planned Giving
    • Sign-up for Emails
  • About
    • Contact
    • Sign-up for Emails
    • Executive Leadership Team
    • Board of Directors
    • Our Partners
    • History
    • Employment
      • Employment Application
    • Locations & Hours
    • Publications & Financials
Casa de los Niños logo icon
  • Home
  • Programs & Resources

      Resources for Parents

      • Parenting Classes in English and Spanish
      • Kelly Early Education Center
      • Nurse-Family Partnership
      • Parents as Teachers
      • Well-Child and Family Care services at El Rio Health Clinic

      Behavioral Health

      • Behavioral and Mental Health Services
      • Get Help
      • Groups and Classes
      • School Based BHS Programs
      • VOCA- Victims of Crime Act

      Foster Care and Family Reunification Services

      • Foster Care and Adoption Services
      • Supervised Visitation Services
      • Family Connection and Nurturing Parenting and SENSE
  • How to Help
    • Make a Gift
    • Monthly Giving Program
    • Foster Parenting
    • Other Ways to Help
    • 2022 Holiday Wish List
    • Planned Giving
    • Sign-up for Emails
  • About
    • Contact
    • Sign-up for Emails
    • Executive Leadership Team
    • Board of Directors
    • Our Partners
    • History
    • Employment
      • Employment Application
    • Locations & Hours
    • Publications & Financials
  • Home
  • Programs & Resources

      Resources for Parents

      • Parenting Classes in English and Spanish
      • Kelly Early Education Center
      • Nurse-Family Partnership
      • Parents as Teachers
      • Well-Child and Family Care services at El Rio Health Clinic

      Behavioral Health

      • Behavioral and Mental Health Services
      • Get Help
      • Groups and Classes
      • School Based BHS Programs
      • VOCA- Victims of Crime Act

      Foster Care and Family Reunification Services

      • Foster Care and Adoption Services
      • Supervised Visitation Services
      • Family Connection and Nurturing Parenting and SENSE
  • How to Help
    • Make a Gift
    • Monthly Giving Program
    • Foster Parenting
    • Other Ways to Help
    • 2022 Holiday Wish List
    • Planned Giving
    • Sign-up for Emails
  • About
    • Contact
    • Sign-up for Emails
    • Executive Leadership Team
    • Board of Directors
    • Our Partners
    • History
    • Employment
      • Employment Application
    • Locations & Hours
    • Publications & Financials
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Kelly Early Education Enrollment Packet

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  3. Kelly Early Education Center
  4. Kelly Early Education Enrollment Packet

    Step 1 of 2

    50%

    Child Information

    First Child's Name(Required)
    Birth Date
    Birth City/State
    May we take and maintain a photo of your child for security purposes?
    Do you have a second child to register?

    Child Information- Second Child

    Second Child's Name
    Birth Date
    Birth City/State
    May we take and maintain a photo of your child for security purposes?
    Do you have a third child to register?

    Child Information- Third Child

    Third Child's Name
    Birth Date
    Birth City/State
    May we take and maintain a photo of your child for security purposes?

    Primary Guardian Information

    Name(s) of person(s) with whom the child is living
    1st Primary Guardian Name
    Is there a 2nd primary guardian?
    (person with whom the child is living)

    2nd Primary Guardian

    2nd Primary Guardian Name

    Home

    Address
    Mailing Address

    Second Guardian Information

    Non-primary custodial parent
    Non-primary Guardian

    Emergency Contacts and Authorized Pickups

    1st Contact/Pickup
    Specify which children may be picked up by this person

    2nd Contact/Pickup
    Specify which children may be picked up by this person

    3rd Contact/Pickup
    Specify which children may be picked up by this person

    Is there any other information that would be helpful to our management and teaching staff?
    Casa de los Niños logo

    1120 N. 5th Avenue
    Tucson, AZ 85705

    Phone: (520) 624-5600
    info@casadelosninos.org

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