Preschool of Business · Enrollment

Big beginnings start here ✨

Fill out the three at-home forms below. When you finish, you’ll download a completed copy and we’ll get one too. Then grab the two forms your pediatrician needs to complete.

1Family 2Escorts 3Consent 4Medical 5Sign

Child & family

Child’s full name * Child’s date of birth * Home address * Parent / guardian name * Second parent / guardian Your email * Your phone *

Authorized escorts

Per NYC Health Code, list everyone you authorize to pick up your child. We’ll never release your child to anyone not listed here.

Photo & media consent

Photos capture your child’s milestones. Choose where we may use them — tap Yes or No for each.

In an emergency, when the parent/guardian above cannot be reached, I authorize the adult in charge to take any action necessary, including medical treatment. *

Emergency medical treatment

So we can act fast in an emergency. A staff member always accompanies your child to care.

Health insurance provider * Policy # * Policy holder name * Insurance phone # Pediatrician (name & phone) *

I authorize a school-designated employee to consent to emergency medical attention (examination, diagnosis, treatment, and/or EMS/hospital care) for my child, and I agree to the Emergency Treatment terms. *

Sign & submit

Type your full legal name as your electronic signature. This applies to all three forms above.

Electronic signature (full name) * Date

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For your pediatrician

These two must be completed by a licensed health-care provider. Download, print, and bring them to your child’s doctor.

📄 Child & Adolescent Health ExaminationNYC DOH/DOE · completed by your doctor Download 📄 Cumulative Health RecordImmunizations & health history · completed by your doctor Download

🔒 Your information is used only for enrollment at Preschool of Business. The completed copy is emailed to the school for processing.