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Dane (608) 276-9782
Waukesha (262) 547-8770
Welcome to Online Registration for new families!
If you already have an account with us, please register by logging into your Parent Portal. Forgot your portal log-in information? Have it sent to your email. .
> 30-40 minutes to complete the registration (time-out occurs after 20 minutes of inactivity)
> Child's physician name, phone and location
> Review of program activities (please see our program pages for more information)
> Child's complete health history, medication, and dosage
> Child's up-to-date immunization dates
> Guardian information
> Two emergency contacts, address and phone number
> All fields with an Asterisk are required: if the question is not applicable, enter "N/A"
> Form of Payment (VISA or Master Card); or Scholarship authorization (registrations will not be saved without payment or authorization code)