I verify the above information to be correct, and I understand that completion of this form does not guarantee placement at Mandy's Learning & Child Development Center.  If my child is placed in this program, I agree that my child will attend the program for the required number of hours and days as prescribed and outlined by the center where my child is enrolled.

I understand that failure to comply with these attendance requirements could result in dis-enrollment. I understand that I cannot register my child without appropriate age documentation.

Thanks for submitting!