Get Registration Form - Indiana University Southeast - Ius

Completing the Registration Form for Indiana University Southeast Children's Center is essential for enrolling your child. This guide provides step-by-step instructions to help you accurately fill out the form online.

Follow the steps to successfully complete the registration form.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Begin by entering the child's name, age, sex, and date of birth in the designated fields. Make sure to double-check the information for accuracy.
3. Next, fill in the mother's information, including her name, phone number, and address. Specify the city, state, and zip code accurately.
4. Provide the mother's employer and business phone number. If she has an additional phone number, such as a cell or beeper, include that as well.
5. Repeat the process for the father's information, ensuring to fill out his name, phone number, and address as outlined in the form.
6. In case of an emergency, fill out the designated section with the name, phone number, address, city, state, and zip code of a person other than the parents. Also, state their relationship to the child.
7. Indicate whether the center should contact emergency medical technicians or a physician if unable to reach the parent or designated person by selecting YES or NO.
8. Complete the sections for the child's dentist and doctor by providing the name, address, and phone number for each.
9. If applicable, disclose any health conditions or allergies that the center should be aware of in the provided space.
10. List individuals authorized to leave the childcare center with your child, including their names, relationships, and phone numbers.
11. Once all fields are filled out, review the form for accuracy, then save your changes. You can choose to download, print, or share the completed form as necessary.

Complete the registration form online to ensure your child's place in our program.