Welcome to Toddler Time!

If this is your first time joining us, please provide the following information to complete registration.

If you've been with us before, check-in here.

* indicates required fields.

* Your full name: * Your child's full name: * Your child's date of birth: Are they receiving services at WCEL?

Yes No

Which best describes you?

Parent

Grandparent

Legal Guardian

Nanny

* I give permission to WCEL to utilize photos and/or video of my child in the classroom space and to share with other WCEL staff for therapeutic consultation.

Yes No

* I give consent without reservation for WCEL to utilize and own photos and/or videos of my child and/or me in displays, publications, social media, WCEL website, events, and fundraisers.

Yes No

Email address: Contact Number: Do you speak any additional languages? If so, please select all that apply. How did you hear about us?