Apply (DHS Subsidies accepted, if already approved) lpandc@yahoo.com(517) 914-21726798 Fosland Farms Dr. Jackson, MI 49201 Name * First Name Last Name Email * Phone (###) ### #### What qualities are the most important to you in a preschool setting? * Childs Birthday * If your child won’t be, at least, 2 1/2 by their start date, please wait to apply until they’re eligible. MM DD YYYY Age How old will your child be on their start date? Days of care. * Monday Tuesday Wednesday Thursday Friday Hours needed * Start date * MM DD YYYY Tell me about your child (Previous childcare experience, allergies, favorite things to do, nap status, potty trained..etc.) How does discipline look in your home? * Do you have any behavior/developmental concerns? * Consistent communication is an MUST: Are you willing to be a partner with your child’s teachers: to help them to have the best experience possible? * Are there any social, cultural, or religious practices you would like us to respect or include in your child’s experience here? * What issues matter the most, to your family, right now? * (Food insecurity, care cost, curriculum, vaccines..etc.) What are your thoughts on school policies regarding health, safety, and illness? * Does your child have any medical needs or conditions we should be aware of during their time in our care? * I read through and understand the LP&C program on the homepage. * Yes No How did you hear about us? If you were referred by someone-let us know who :) Thank you!