Near The Pier Registration

Application Checklist

  • Tour of Facility
  • Annual Registration Fee
  • Rules & Regulations
  • Payment Schedule
  • Medical/Safety Policy
  • Holiday Schedule
  • Nutritional Plan
  • Curriculum
  • Outdoor Play
All Application Checklist items will be done on site.

Child Details

BoyGirl

Siblings

Other Details

Mother's Business:

Father's Business:

Medical Information

Emergency Information

Individual, other than parent, to be called in case of emergency:

The following Individuals are authorized to pick up my child from the Center:

Child History

I agree to allterms and agreements. Select the checkbox and enter your full name, last four digit of your social and the date to agree to all the information you input above.
parent handbook