Enrollment Application
Application for Enrollment
Required fields are marked with a red asterisk *.
Your Email (remains private!) (*)
Please let us know your email address.
Child's Last Name (*)
Please let us know your name.
Child's First Name (*)
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Child's Middle Name (*)
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Child's Nickname
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Child's Address (*)
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Child's City (*)
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Child's Zip (*)
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Child's Birthdate (*)
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Gender (*)
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Primary Hours of Care (ex. 8am to 5pm) (*)
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Days of Care (*)
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Days of Week in Care (check all that apply) (*)
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Meals While in Care (check all that apply) (*)
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T's Center of Interest (*)
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FAMILY INFORMATION
Please take the time to gather all the necessary information. If you can't provide the information for a required field, you may enter "N/A".
Child Lives With (*)
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Custody (*)
Who has legal custody of the child?
If Other, Please Explain
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Mother's Information
Mother's Name (*)
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Mother's Email (remains private!) (*)
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Address (*)
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Home Phone (*)
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Employer (*)
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Employer's Address (*)
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Work Phone (*)
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Cell Phone (*)
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Driver's License Number (*)
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State Issued (*)
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Mother's Date of Birth (*)
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Last 4 of Social (*)
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Father's Information
Father's Name (*)
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Father's Email (remains private!) (*)
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Address (*)
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Home Phone (*)
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Employer (*)
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Employer's Address (*)
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Work Phone (*)
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Cell Phone (*)
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Driver's License Number (*)
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State Issued (*)
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Father's Date of Birth (*)
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Last 4 of Social (*)
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MEDICAL INFORMATION
I hereby grant permission for the staff of this facility to contact the following medical personnel to obtain emergency medical care if warranted.
Doctor (*)
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Address (*)
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Phone (*)
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Secondary Doctor
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Address
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Phone
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Hospital Preference (*)
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Please list allergies, special medical or dietary needs, or other areas of concern: (*)
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EMERGENCY CONTACT INFORMATION
Please take the time to gather all the necessary information. If you can't provide the information for a required field, you may enter "N/A".
Emergency Contact #1
Name (*)
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Address
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Home Phone (*)
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Work Phone (*)
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Emergency Contact #2
Name
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Address
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Home Phone
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Work Phone
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Emergency Contact #3
Name
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Address
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Home Phone
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Work Phone
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Emergency Contact #4
Name
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Address
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Home Phone
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Work Phone
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Helpful Information about the Child: (*)
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Section 10-12.025 (2), F.A.C., requires a current physical examination (Form 3040) and immunization (Form 680 or 681) within 30 days of enrollment.

Section 402.3125 (5), F.S., requires that parents receive a copy of the Childcare Facility Brochure, “KNOW YOUR CHILDCARE CENTER”.

Section 10M-12.025 (4)., F.A.C., requires that the parents are notified in writing of the disciplinary practices used by the childcare facility.

Please review the following statements. You will need to initial them when you come into the sign the application.
I understand that I can review the T's Learning Center Parent Handbook on the website and understand that I am responsible to read its contents concerning all policies and revisions.
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I have read and signed the (non-refundable) deposit agreement
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I have read and signed the Department of Children and Families Flu Form
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I have read and signed the withdrawal policy agreement and understand the policies.
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I understand that I am responsible for any monies not paid by the program I am in (JCC/ECS/NACCRRA)
I am in the JCC/ECS School Readiness Program and have reviewed and signed the contract.
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I am in the VPK Program and have reviewed and signed the contract.
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I am in the NACCRRA program and have reviewed and signed the contract.
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Hours & Locations

Hours for All Centers
Monday thru Friday,
6:30am - 6:30pm

T's Learning Center I
11761 Beach Blvd. # 13
Jacksonville, FL 32246
904-641-5273
Lic #C04DU370
Google Location Map

T's Learning Center II
8595 Beach Blvd. # 201
Jacksonville, FL 32216
904-997-1971
Lic #C04DU369
Google Location Map

T's Learning Center III
11526 Lake Mead Ave. #105
Jacksonville, FL 32256
904-538-0900
Lic #C04DU1135
Google Location Map

T's Learning Center IV
3033 Monument Road #21
Jacksonville, FL 32225
904-807-9191
Lic #C04DU0806
Google Location Map

T's Learning Center V
11300 U. S. 1 North
Cross Ridge Plaza
Ponte Vedra, FL 32801
904-551-2614
Google Location Map

 

T's Learning Center I

11761 Beach Blvd. #13
Jacksonville, FL 32246
904-641-5273
Lic #C04DU370

Gold Seal Accredited
APPLE Accredited

Google Location Map 

T's Learning Center II

8595 Beach Blvd. #201
Jacksonville, FL 32216
904-997-1971
Lic #C04DU369

Gold Seal Accredited
APPLE Accredited

Google Location Map

T's Learning Center III

11526 Lake Mead Ave. #105
Jacksonville, FL 32256
904-538-0900
Lic #C04DU1135

Gold Seal Accredited
APPLE Accredited

Google Location Map

 

T's Learning Center IV

3033 Monument Road #21
Jacksonville, FL 32225
904-807-9191
Lic #C04DU0806

Gold Seal Accredited
5 Star Rating GSOD

Google Location Map 

T's Learning Center V

11300 US HWY 1 North
Ponte Vedra, FL 32081
904-551-2614
Lic #C07SJ0111

Now Open

Google Location Map