Busy Beavers Academy

Busy Beavers Academy

Registration Application
Fill out the form completely and a representative will contact you within 24 hours to finish the registration process on-site. Registration includes a $75.00 non-refundable registration fee which can be paid online at the end of this registration form.

Need help? Have questions? Contact us at info@busybeaversacademy.com or give us a call at (971) 301-4266.
Child Information
Name of Child:

First Name Middle Name Last Name
Nickname:
Date of Birth:
Gender:

Male Female
Is your child currently enrolled in another preschool program/Head Start?

No Yes - Name of Program:
Which program are you interested in?

Monday/Wednesday/Friday Tuesday/Thursday Monday/Tuesday/Wednesday/Thursday/Friday
Are you interested in AM or PM classes?

AM Classes (8:00 AM - 11:30 PM) PM Classes (12:30 PM - 4:00 PM)
Is your child currently receiving any services, such as WESD?
Does your child have any allergies?
Does your child have any special concerns?
Family Information
Parent/Guardian Name:

First Name Last Name
Relationship to Child:

Parent Legal Guardian Foster Parent Other:
Parent/Guardian Name:

First Name Last Name
Relationship to Child:

Parent Legal Guardian Foster Parent Other:

Address:

Registration Fee $ 75.00

Number of Registrations

Total $ 0.00

Child Information