Please complete the following form and turn a printed copy into Robins Nest before your child's first day. Do to the sensitivity of some content found in our Child Information Packet, you are required to print this form and fill the remainder out by hand.
I authorize the following people to pick up my child/children:
They must sign in/out after presenting a valid ID when picking up child/children.
I also understand children play & do sometimes get hurt by tripping, falling off play equipment & other various activities. I/we will not hold Robin’s Nest responsible for medical attention needed in such a case unless the licensing finds the center negligent.
I do not have Medical Insurance.
I do have Medical Insurance.
Please provide a copy of your card or print out insurance information.
Is your child potty trained?
Does your child still have potty accidents?
Can your child write their name?
Best way to communicate?
Yes, I agree with the above policy.
Food Program & Feeding Schedules
Robin’s Nest participates in the state food program. Robin’s Nest provides formula (milk-based/soy Good start) and all bottles, solid food, and cereals. There are no additional fees or requirements from the parents to participate in this program.
Robin’s Nest is an extension of your family and will vary from this procedure to fit parents’ needs for their children that meet the basic requirements for care in our facility based on DCFS rules and regulations and that of your physician.
I will be using the center’s food program
I will be bringing my own food & bottles
(See below for requirements)
I am breastfeeding my child
I will provide my own bottles
I will be bring my own food and use the center's bottles
Please update monthly until eating table food.
I understand the feeding requirements outlined in this agreement and would like my child to:
Be fed based on the food program that the center offers.
I will provide for my child daily as outline above and understand that if I do not provide the needed food, the center will use their food to meet the needs of my child.
My child is breastfed
I would like my child fed the following times & amounts while in care at Robin’s Nest:
On demand oz:
Other (see details below)
Thank you for completing Robin's Nest's Child Enrollment Form. Please download and print the form below. The form must be turned in before your child's first day at Robins Nest.
Because this form contains sensitive information, we strongly recommend not emailing it to us.