2026-2027 Our Lady's Childcare Registration

June 1, 2026-May 31, 2027 | Please fill out this form and click submit.
Our Lady's Childcare is provided in a safe, clean, and friendly space in OLA's Education & Formation Building. Children play with toys and games and enjoy fellowship while in our programs.

Effective dates: June 1, 2026 - May 31, 2027

Ages: 6 months - 11 years

Information provided in this form will only be available to OLA staff, including childcare workers.
Child Information

 
 
Please select one option.
 
 
 
 
 
 
 
 
 
 
 
Parent/Guardian 1 Info

This should be the parent / guardian / conservator who will primarily be responsible for bringing and picking up the child.
 
 
 
 
Parent/Guardian 2 or other Emergency Contact

This person also has the right or permission to pick up the child.
 
 
 
 
Emergency Contact #3

This adult also has permission to pick up the child.
 
 
 
 
Consent to Participate and Liability Release

Please select all that apply.
Authorization of Consent to Treat a Minor

Please select all that apply.
Media Consent & Social Media Communications

Please select all that apply.
Electronic Signature for Agreements

 
Please select one option.
 
 
 
 
 

Description

June 1, 2026-May 31, 2027
Please fill out this form and click submit.