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Step Two: Additional Information
Greg’s Personal Information
Date of Birth
*
Month
Day
Year
Grade Level
*
Homeroom Teacher
*
Dismissal Method
*
Select an option
Child Care Program Name
*
May we photograph your child in class?
*
Select an option
May we video your child in class?
*
Select an option
If in Kindergarten, what time of day?
*
Select an option
Additional Comments
Are you interested in being a parent helper?
*
Select an option
Medical Information
Physician Name
*
Physician Phone
*
Other Medical Conditions
*
Additional Information
Questions Required Checkbox
*
Our current reg forms can have multiple sections per page
We'll need a design that shows a page with the different sections and headers
We need an example of a checkbox and a text area.
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