<?xml version="1.0" encoding="utf-8" ?> 
    <forms>
	<form id="15" title="Preschool-Kindergarten Enrollment Package - Export" type="embedded"  published="1" savedb="1" sendemail="1">
		<fields>
			<field id="5" type="type_name" w_field_label="Childs' Name" w_field_label_size="" w_field_label_pos="top" w_hide_label="no" w_first_val="*********" w_title="*********" w_mini_labels="Title*********Middle" w_size="" w_name_format="normal" w_required="no" w_unique="no" w_class="" w_name_fields="no***no" w_autofill="no" w_attr_name="attribute=value, ">
			</field>
			<field id="9" type="type_date_fields" w_field_label="Date of Birth" w_field_label_size="" w_field_label_pos="top" w_hide_label="no" w_day="" w_month="" w_year="" w_day_type="SELECT" w_month_type="SELECT" w_year_type="SELECT" w_day_label="day" w_month_label="month" w_year_label="year" w_day_size="70" w_month_size="135" w_year_size="90" w_required="no" w_class="wdform_date_fields" w_from="2010" w_to="2025" w_divider="*:*w_min_day*:**:*w_min_month*:**:*w_min_year*:*Date of birth does not meet specified requirements.*:*w_min_dob_alert*:*&amp;#160;/&amp;#160;" >
			</field>
			<field id="8" type="type_spinner" w_field_label="Age" w_field_label_size="" w_field_label_pos="top" w_hide_label="no" w_field_width="150" w_field_min_value="" w_field_max_value="" w_field_step="1" w_field_value="null" w_required="no" w_class="" >
			</field>
			<field id="10" type="type_radio" w_field_label="Gender" w_field_label_size="" w_field_label_pos="top" w_field_option_pos="right" w_hide_label="no" w_flow="hor" w_choices="Male***Female" w_choices_checked="false***false" w_rowcol="1" w_required="no" w_randomize="no" w_allow_other="no" w_allow_other_num="0" w_value_disabled="no" w_choices_value="no*:*w_use_for_submission*:*Male***Female" w_choices_params="***" w_class="" >
			</field>
			<field id="627" type="type_editor" w_field_label="Custom HTML627">
				<![CDATA[]]>
			</field>
			<field id="11" type="type_text" w_field_label="Has your child been to a Preschool before?" w_field_label_size="" w_field_label_pos="top" w_hide_label="no" w_size="" w_first_val="" w_title="" w_required="no" w_regExp_status="no" w_regExp_value="" w_regExp_common="" w_regExp_arg="" w_regExp_alert="Incorrect Value" w_unique="no" w_readonly="no" w_class="" >
			</field>
			<field id="12" type="type_text" w_field_label="If Yes, Where and for How long?" w_field_label_size="" w_field_label_pos="top" w_hide_label="no" w_size="" w_first_val="" w_title="" w_required="no" w_regExp_status="no" w_regExp_value="" w_regExp_common="" w_regExp_arg="" w_regExp_alert="Incorrect Value" w_unique="no" w_readonly="no" w_class="undefined" >
			</field>
			<field id="18" type="type_editor" w_field_label="Custom HTML18">
				<![CDATA[<div class="sub-title-form-2 text-left"><p class="text-left">Please check the appropriate program Schedule &amp; Meal Pattern</p></div>]]>
			</field>
			<field id="19" type="type_editor" w_field_label="Custom HTML19">
				<![CDATA[<p class="text-left pt-6">Full Time 5 days a week</p>]]>
			</field>
			<field id="21" type="type_own_select" w_field_label="Monthly $&lt;span&gt;Full Time 5 days&lt;/span&gt;" w_field_label_size="90" w_field_label_pos="left" w_hide_label="no" w_size="" w_choices="Select value***$10***$20***$30***$40***$50***$60***$70***$80***$90***$100" w_choices_checked="true***false***false***false***false***false***false***false***false***false***false" w_choices_disabled="true***false***false***false***false***false***false***false***false***false***false" w_required="no" w_value_disabled="no" w_choices_value="no*:*w_use_for_submission*:****$10***$20***$30***$40***$50***$60***$70***$80***$90***$100" w_choices_params="******************************" w_class="month_box" >
			</field>
			<field id="22" type="type_own_select" w_field_label="Weekly $&lt;span&gt;Full Time 5 days&lt;/span&gt;" w_field_label_size="90" w_field_label_pos="left" w_hide_label="no" w_size="" w_choices="Select value***option 1***option 2" w_choices_checked="true***false***false" w_choices_disabled="true***false***false" w_required="no" w_value_disabled="no" w_choices_value="no*:*w_use_for_submission*:****option 1***option 2" w_choices_params="******" w_class="month_box" >
			</field>
			<field id="27" type="type_editor" w_field_label="Custom HTML27">
				<![CDATA[<p class="text-left pt-6">Part Time 3 days a week*</p>]]>
			</field>
			<field id="28" type="type_own_select" w_field_label="Monthly $&lt;span&gt;Part Time 3 days&lt;/span&gt;" w_field_label_size="90" w_field_label_pos="left" w_hide_label="no" w_size="" w_choices="Select value***option 1***option 2" w_choices_checked="true***false***false" w_choices_disabled="true***false***false" w_required="no" w_value_disabled="no" w_choices_value="no*:*w_use_for_submission*:****option 1***option 2" w_choices_params="******" w_class="month_box" w_attr_name="attribute=value, ">
			</field>
			<field id="29" type="type_own_select" w_field_label="Weekly $&lt;span&gt;Part Time 3 days&lt;/span&gt;" w_field_label_size="90" w_field_label_pos="left" w_hide_label="no" w_size="" w_choices="Select value***option 1***option 2" w_choices_checked="true***false***false" w_choices_disabled="true***false***false" w_required="no" w_value_disabled="no" w_choices_value="no*:*w_use_for_submission*:****option 1***option 2" w_choices_params="******" w_class="month_box" >
			</field>
			<field id="30" type="type_editor" w_field_label="Custom HTML30">
				<![CDATA[<p class="text-left pt-6">Part Time 2 days a week*</p>]]>
			</field>
			<field id="31" type="type_own_select" w_field_label="Monthly $&lt;span&gt; Part Time 2 days&lt;/span&gt;" w_field_label_size="90" w_field_label_pos="left" w_hide_label="no" w_size="" w_choices="Select value***option 1***option 2" w_choices_checked="true***false***false" w_choices_disabled="true***false***false" w_required="no" w_value_disabled="no" w_choices_value="no*:*w_use_for_submission*:****option 1***option 2" w_choices_params="******" w_class="month_box" >
			</field>
			<field id="32" type="type_own_select" w_field_label="Weekly $&lt;span&gt;Part Time 2 days&lt;/span&gt;" w_field_label_size="90" w_field_label_pos="left" w_hide_label="no" w_size="" w_choices="Select value***option 1***option 2" w_choices_checked="true***false***false" w_choices_disabled="true***false***false" w_required="no" w_value_disabled="no" w_choices_value="no*:*w_use_for_submission*:****option 1***option 2" w_choices_params="******" w_class="month_box" >
			</field>
			<field id="33" type="type_matrix" w_field_label="Matrix" w_field_label_size="" w_field_label_pos="left" w_hide_label="yes" w_field_input_type="text" w_rows="***Breakfast***Lunch***Snack***Hours of Care (ex 9-5) " w_columns="***Monday***Tuesday***Wednesday***Thursday***Friday" w_required="no" w_class="Table01" w_textbox_size="100" >
			</field>
			<field id="35" type="type_date_new" w_field_label="Request starting date" w_field_label_size="" w_field_label_pos="top" w_hide_label="no" w_size="180" w_date="" w_required="no" w_show_image="no" w_class="" w_format="mm/dd/yy" w_start_day="0" w_default_date="" w_min_date="" w_max_date="" w_invalid_dates="" w_show_days="yes***yes***yes***yes***yes***yes***yes" w_hide_time="yes" w_but_val="..." w_disable_past_days="no" >
			</field>
			<field id="36" type="type_text" w_field_label="How did you hear about us" w_field_label_size="" w_field_label_pos="top" w_hide_label="no" w_size="" w_first_val="" w_title="" w_required="no" w_regExp_status="no" w_regExp_value="" w_regExp_common="" w_regExp_arg="" w_regExp_alert="Incorrect Value" w_unique="no" w_readonly="no" w_class="" >
			</field>
			<field id="44" type="type_editor" w_field_label="Custom HTML44">
				<![CDATA[<div class="sub-title-form-maker">PARENT / GUARDIAN INFORMATION</div>\r\n<div style="text-align: left;" data-mce-style="text-align: left;"><strong><span style="text-decoration: underline;" data-mce-style="text-decoration: underline;">Mother's Information</span></strong><br data-mce-bogus="1"></div>]]>
			</field>
			<field id="45" type="type_text" w_field_label="Mother's Name " w_field_label_size="" w_field_label_pos="top" w_hide_label="no" w_size="" w_first_val="" w_title="" w_required="no" w_regExp_status="no" w_regExp_value="" w_regExp_common="" w_regExp_arg="" w_regExp_alert="Incorrect Value" w_unique="no" w_readonly="no" w_class="" >
			</field>
			<field id="46" type="type_text" w_field_label="Social Security # " w_field_label_size="" w_field_label_pos="top" w_hide_label="no" w_size="" w_first_val="" w_title="" w_required="no" w_regExp_status="no" w_regExp_value="" w_regExp_common="" w_regExp_arg="" w_regExp_alert="Incorrect Value" w_unique="no" w_readonly="no" w_class="" >
			</field>
			<field id="47" type="type_text" w_field_label="DL #" w_field_label_size="" w_field_label_pos="top" w_hide_label="no" w_size="" w_first_val="" w_title="" w_required="no" w_regExp_status="no" w_regExp_value="" w_regExp_common="" w_regExp_arg="" w_regExp_alert="Incorrect Value" w_unique="no" w_readonly="no" w_class="" >
			</field>
			<field id="623" type="type_text" w_field_label="Address" w_field_label_size="" w_field_label_pos="top" w_hide_label="no" w_size="" w_first_val="" w_title="" w_required="no" w_regExp_status="no" w_regExp_value="" w_regExp_common="" w_regExp_arg="" w_regExp_alert="Incorrect Value" w_unique="no" w_readonly="no" w_class="" >
			</field>
			<field id="622" type="type_text" w_field_label="City" w_field_label_size="" w_field_label_pos="top" w_hide_label="no" w_size="" w_first_val="" w_title="" w_required="no" w_regExp_status="no" w_regExp_value="" w_regExp_common="" w_regExp_arg="" w_regExp_alert="Incorrect Value" w_unique="no" w_readonly="no" w_class="" >
			</field>
			<field id="624" type="type_text" w_field_label="State" w_field_label_size="" w_field_label_pos="top" w_hide_label="no" w_size="" w_first_val="" w_title="" w_required="no" w_regExp_status="no" w_regExp_value="" w_regExp_common="" w_regExp_arg="" w_regExp_alert="Incorrect Value" w_unique="no" w_readonly="no" w_class="" >
			</field>
			<field id="625" type="type_text" w_field_label="Zip" w_field_label_size="" w_field_label_pos="top" w_hide_label="no" w_size="" w_first_val="" w_title="" w_required="no" w_regExp_status="no" w_regExp_value="" w_regExp_common="" w_regExp_arg="" w_regExp_alert="Incorrect Value" w_unique="no" w_readonly="no" w_class="" >
			</field>
			<field id="54" type="type_submitter_mail" w_field_label="Email" w_field_label_size="" w_field_label_pos="top" w_hide_label="no" w_size="" w_first_val="" w_title="" w_required="no" w_unique="no" w_class="" w_verification="no" w_verification_label="Email confirmation" w_verification_placeholder="" w_autofill="no" >
			</field>
			<field id="55" type="type_phone_new" w_field_label="Home Phone" w_field_label_size="" w_field_label_pos="top" w_hide_label="no" w_size="" w_first_val="" w_title="us*:*w_top_country*:*no*:*w_required*:*no*:*w_unique*:**:*w_class*:*" w_mini_labels="" w_required="" w_unique="" w_class="" >
			</field>
			<field id="57" type="type_text" w_field_label="Place of Employment" w_field_label_size="" w_field_label_pos="top" w_hide_label="no" w_size="" w_first_val="" w_title="" w_required="no" w_regExp_status="no" w_regExp_value="" w_regExp_common="" w_regExp_arg="" w_regExp_alert="Incorrect Value" w_unique="no" w_readonly="no" w_class="" >
			</field>
			<field id="56" type="type_phone_new" w_field_label="Cell Phone" w_field_label_size="" w_field_label_pos="top" w_hide_label="no" w_size="" w_first_val="" w_title="us*:*w_top_country*:*no*:*w_required*:*no*:*w_unique*:**:*w_class*:*" w_mini_labels="" w_required="" w_unique="" w_class="" >
			</field>
			<field id="58" type="type_text" w_field_label="Job Title" w_field_label_size="" w_field_label_pos="top" w_hide_label="no" w_size="" w_first_val="" w_title="" w_required="no" w_regExp_status="no" w_regExp_value="" w_regExp_common="" w_regExp_arg="" w_regExp_alert="Incorrect Value" w_unique="no" w_readonly="no" w_class="" >
			</field>
			<field id="59" type="type_phone_new" w_field_label="Work Phone" w_field_label_size="" w_field_label_pos="top" w_hide_label="no" w_size="" w_first_val="" w_title="us*:*w_top_country*:*no*:*w_required*:*no*:*w_unique*:**:*w_class*:*" w_mini_labels="" w_required="" w_unique="" w_class="" >
			</field>
			<field id="645" type="type_editor" w_field_label="Custom HTML645">
				<![CDATA[\r\n<div style="text-align: left;" data-mce-style="text-align: left;"><strong><span style="text-decoration: underline;" data-mce-style="text-decoration: underline;">Father's Information</span></strong><br data-mce-bogus="1"></div>]]>
			</field>
			<field id="646" type="type_text" w_field_label="Fathers's Name" w_field_label_size="" w_field_label_pos="top" w_hide_label="no" w_size="" w_first_val="" w_title="" w_required="no" w_regExp_status="no" w_regExp_value="" w_regExp_common="" w_regExp_arg="" w_regExp_alert="Incorrect Value" w_unique="no" w_readonly="no" w_class="undefined" >
			</field>
			<field id="647" type="type_text" w_field_label="Social Security #Father" w_field_label_size="" w_field_label_pos="top" w_hide_label="no" w_size="" w_first_val="" w_title="" w_required="no" w_regExp_status="no" w_regExp_value="" w_regExp_common="" w_regExp_arg="" w_regExp_alert="Incorrect Value" w_unique="no" w_readonly="no" w_class="undefined" >
			</field>
			<field id="648" type="type_text" w_field_label="DL #Father" w_field_label_size="" w_field_label_pos="top" w_hide_label="no" w_size="" w_first_val="" w_title="" w_required="no" w_regExp_status="no" w_regExp_value="" w_regExp_common="" w_regExp_arg="" w_regExp_alert="Incorrect Value" w_unique="no" w_readonly="no" w_class="undefined" >
			</field>
			<field id="649" type="type_text" w_field_label="AddressFather" w_field_label_size="" w_field_label_pos="top" w_hide_label="no" w_size="" w_first_val="" w_title="" w_required="no" w_regExp_status="no" w_regExp_value="" w_regExp_common="" w_regExp_arg="" w_regExp_alert="Incorrect Value" w_unique="no" w_readonly="no" w_class="undefined" >
			</field>
			<field id="650" type="type_text" w_field_label="CityFather" w_field_label_size="" w_field_label_pos="top" w_hide_label="no" w_size="" w_first_val="" w_title="" w_required="no" w_regExp_status="no" w_regExp_value="" w_regExp_common="" w_regExp_arg="" w_regExp_alert="Incorrect Value" w_unique="no" w_readonly="no" w_class="undefined" >
			</field>
			<field id="651" type="type_text" w_field_label="StateFather" w_field_label_size="" w_field_label_pos="top" w_hide_label="no" w_size="" w_first_val="" w_title="" w_required="no" w_regExp_status="no" w_regExp_value="" w_regExp_common="" w_regExp_arg="" w_regExp_alert="Incorrect Value" w_unique="no" w_readonly="no" w_class="undefined" >
			</field>
			<field id="652" type="type_text" w_field_label="ZipFather" w_field_label_size="" w_field_label_pos="top" w_hide_label="no" w_size="" w_first_val="" w_title="" w_required="no" w_regExp_status="no" w_regExp_value="" w_regExp_common="" w_regExp_arg="" w_regExp_alert="Incorrect Value" w_unique="no" w_readonly="no" w_class="undefined" >
			</field>
			<field id="653" type="type_submitter_mail" w_field_label="EmailFather" w_field_label_size="" w_field_label_pos="top" w_hide_label="no" w_size="" w_first_val="" w_title="" w_required="no" w_unique="no" w_class="" w_verification="no" w_verification_label="Email confirmation" w_verification_placeholder="" w_autofill="no" >
			</field>
			<field id="654" type="type_phone_new" w_field_label="Home PhoneFather" w_field_label_size="" w_field_label_pos="top" w_hide_label="no" w_size="" w_first_val="" w_title="us*:*w_top_country*:*no*:*w_required*:*no*:*w_unique*:**:*w_class*:*" w_mini_labels="" w_required="" w_unique="" w_class="" >
			</field>
			<field id="655" type="type_text" w_field_label="Place of EmploymentFather" w_field_label_size="" w_field_label_pos="top" w_hide_label="no" w_size="" w_first_val="" w_title="" w_required="no" w_regExp_status="no" w_regExp_value="" w_regExp_common="" w_regExp_arg="" w_regExp_alert="Incorrect Value" w_unique="no" w_readonly="no" w_class="undefined" >
			</field>
			<field id="656" type="type_phone_new" w_field_label="Cell PhoneFather" w_field_label_size="" w_field_label_pos="top" w_hide_label="no" w_size="" w_first_val="" w_title="us*:*w_top_country*:*no*:*w_required*:*no*:*w_unique*:**:*w_class*:*" w_mini_labels="" w_required="" w_unique="" w_class="" >
			</field>
			<field id="657" type="type_text" w_field_label="Job TitleFather" w_field_label_size="" w_field_label_pos="top" w_hide_label="no" w_size="" w_first_val="" w_title="" w_required="no" w_regExp_status="no" w_regExp_value="" w_regExp_common="" w_regExp_arg="" w_regExp_alert="Incorrect Value" w_unique="no" w_readonly="no" w_class="undefined" >
			</field>
			<field id="658" type="type_phone_new" w_field_label="Work PhoneFather" w_field_label_size="" w_field_label_pos="top" w_hide_label="no" w_size="" w_first_val="" w_title="us*:*w_top_country*:*no*:*w_required*:*no*:*w_unique*:**:*w_class*:*" w_mini_labels="" w_required="" w_unique="" w_class="" >
			</field>
			<field id="61" type="type_text" w_field_label="Custody Information" w_field_label_size="" w_field_label_pos="top" w_hide_label="no" w_size="" w_first_val="" w_title="" w_required="no" w_regExp_status="no" w_regExp_value="" w_regExp_common="" w_regExp_arg="" w_regExp_alert="Incorrect Value" w_unique="no" w_readonly="no" w_class="" >
			</field>
			<field id="60" type="type_own_select" w_field_label="Marital Status" w_field_label_size="" w_field_label_pos="top" w_hide_label="no" w_size="" w_choices="Select value***Single***Married " w_choices_checked="true***false***false" w_choices_disabled="false***false***false" w_required="no" w_value_disabled="no" w_choices_value="no*:*w_use_for_submission*:*Select value***Single***Married " w_choices_params="******" w_class="wdform_select" >
			</field>
			<field id="62" type="type_text" w_field_label="List any allergies your child has" w_field_label_size="" w_field_label_pos="top" w_hide_label="no" w_size="" w_first_val="" w_title="" w_required="no" w_regExp_status="no" w_regExp_value="" w_regExp_common="" w_regExp_arg="" w_regExp_alert="Incorrect Value" w_unique="no" w_readonly="no" w_class="" >
			</field>
			<field id="63" type="type_text" w_field_label="My child excels in" w_field_label_size="" w_field_label_pos="top" w_hide_label="no" w_size="" w_first_val="" w_title="" w_required="no" w_regExp_status="no" w_regExp_value="" w_regExp_common="" w_regExp_arg="" w_regExp_alert="Incorrect Value" w_unique="no" w_readonly="no" w_class="" >
			</field>
			<field id="64" type="type_text" w_field_label="My child needs help in" w_field_label_size="" w_field_label_pos="top" w_hide_label="no" w_size="" w_first_val="" w_title="" w_required="no" w_regExp_status="no" w_regExp_value="" w_regExp_common="" w_regExp_arg="" w_regExp_alert="Incorrect Value" w_unique="no" w_readonly="no" w_class="" >
			</field>
			<field id="65" type="type_text" w_field_label="Parent's evaluation of child's personality" w_field_label_size="" w_field_label_pos="top" w_hide_label="no" w_size="" w_first_val="" w_title="" w_required="no" w_regExp_status="no" w_regExp_value="" w_regExp_common="" w_regExp_arg="" w_regExp_alert="Incorrect Value" w_unique="no" w_readonly="no" w_class="" >
			</field>
			<field id="66" type="type_text" w_field_label="Does your child have any special needs/problems/fears?" w_field_label_size="" w_field_label_pos="top" w_hide_label="no" w_size="" w_first_val="" w_title="" w_required="no" w_regExp_status="no" w_regExp_value="" w_regExp_common="" w_regExp_arg="" w_regExp_alert="Incorrect Value" w_unique="no" w_readonly="no" w_class="" >
			</field>
			<field id="67" type="type_text" w_field_label="Additional information we should know about your child" w_field_label_size="" w_field_label_pos="top" w_hide_label="no" w_size="" w_first_val="" w_title="" w_required="no" w_regExp_status="no" w_regExp_value="" w_regExp_common="" w_regExp_arg="" w_regExp_alert="Incorrect Value" w_unique="no" w_readonly="no" w_class="" >
			</field>
			<field id="68" type="type_editor" w_field_label="Custom HTML68">
				<![CDATA[<div class="form-body-text"><p class="pargh-text text-left">Return this completed application with your enrollment fees as soon as
possible to reserve your child's space. Enrollment fees do not include your
first week's tuition</p><ul class="page-3-ul"><li>I understand I am signing up for specific days and times and I am responsible for Payment according to the school policy</li><li>I understand that the enrollment fees are non-refundable.</li></ul></div>]]>
			</field>
			<field id="70" type="type_date_new" w_field_label="Date" w_field_label_size="" w_field_label_pos="top" w_hide_label="no" w_size="180" w_date="" w_required="no" w_show_image="no" w_class="" w_format="mm/dd/yy" w_start_day="0" w_default_date="" w_min_date="" w_max_date="" w_invalid_dates="" w_show_days="yes***yes***yes***yes***yes***yes***yes" w_hide_time="yes" w_but_val="..." w_disable_past_days="no" >
			</field>
			<field id="69" type="type_signature" w_field_label="Parent/Guardian's Signature" >
			</field>
			<field id="660" type="type_editor" w_field_label="Custom HTML660">
				<![CDATA[<div class="sub-title-form py-20">Kids Adventure Learning Center</div><div class="sub-title-form-2 py-20">Preschool Toilet Training Plan</div>]]>
			</field>
			<field id="661" type="type_text" w_field_label="Childs Name:" w_field_label_size="" w_field_label_pos="top" w_hide_label="no" w_size="" w_first_val="" w_title="" w_required="no" w_regExp_status="no" w_regExp_value="" w_regExp_common="" w_regExp_arg="" w_regExp_alert="Incorrect Value" w_unique="no" w_readonly="no" w_class="" >
			</field>
			<field id="662" type="type_date_new" w_field_label="Birth Date:" w_field_label_size="" w_field_label_pos="top" w_hide_label="no" w_size="" w_date="" w_required="no" w_show_image="no" w_class="" w_format="mm/dd/yy" w_start_day="0" w_default_date="" w_min_date="" w_max_date="" w_invalid_dates="" w_show_days="yes***yes***yes***yes***yes***yes***yes" w_hide_time="yes" w_but_val="..." w_disable_past_days="no" >
			</field>
			<field id="663" type="type_date_new" w_field_label="Todays Date:" w_field_label_size="" w_field_label_pos="top" w_hide_label="no" w_size="" w_date="" w_required="no" w_show_image="no" w_class="" w_format="mm/dd/yy" w_start_day="0" w_default_date="" w_min_date="" w_max_date="" w_invalid_dates="" w_show_days="yes***yes***yes***yes***yes***yes***yes" w_hide_time="yes" w_but_val="..." w_disable_past_days="no" >
			</field>
			<field id="506" type="type_editor" w_field_label="Custom HTML506">
				<![CDATA[<div class="sub-title-form"><div class="sub-title-form-3">Toileting Plan</div></div>]]>
			</field>
			<field id="507" type="type_text" w_field_label="1. How many wet diapers a day approx.:" w_field_label_size="" w_field_label_pos="top" w_hide_label="no" w_size="" w_first_val="" w_title="" w_required="no" w_regExp_status="no" w_regExp_value="" w_regExp_common="" w_regExp_arg="" w_regExp_alert="Incorrect Value" w_unique="no" w_readonly="no" w_class="" >
			</field>
			<field id="508" type="type_text" w_field_label="2. How often does your child have a bowel movement:" w_field_label_size="" w_field_label_pos="top" w_hide_label="no" w_size="" w_first_val="" w_title="" w_required="no" w_regExp_status="no" w_regExp_value="" w_regExp_common="" w_regExp_arg="" w_regExp_alert="Incorrect Value" w_unique="no" w_readonly="no" w_class="undefined" >
			</field>
			<field id="509" type="type_text" w_field_label="3.  Any special comments or concerns in reference to diapering/toileting:" w_field_label_size="" w_field_label_pos="top" w_hide_label="no" w_size="" w_first_val="" w_title="" w_required="no" w_regExp_status="no" w_regExp_value="" w_regExp_common="" w_regExp_arg="" w_regExp_alert="Incorrect Value" w_unique="no" w_readonly="no" w_class="undefined" >
			</field>
			<field id="510" type="type_text" w_field_label="4.  Method preferred for toilet training:" w_field_label_size="" w_field_label_pos="top" w_hide_label="no" w_size="" w_first_val="" w_title="" w_required="no" w_regExp_status="no" w_regExp_value="" w_regExp_common="" w_regExp_arg="" w_regExp_alert="Incorrect Value" w_unique="no" w_readonly="no" w_class="undefined" >
			</field>
			<field id="511" type="type_text" w_field_label="5. Specific equipment used and time line of use as directed/provided by parent as well as a timeline of introduction of appropriate clothing:" w_field_label_size="" w_field_label_pos="top" w_hide_label="no" w_size="" w_first_val="" w_title="" w_required="no" w_regExp_status="no" w_regExp_value="" w_regExp_common="" w_regExp_arg="" w_regExp_alert="Incorrect Value" w_unique="no" w_readonly="no" w_class="undefined" >
			</field>
			<field id="512" type="type_editor" w_field_label="Custom HTML512">
				<![CDATA[<div class="p-main-text"><p class="text-left">All parents are asked to please provide diapers and wipes for their child, as well as any
ointments, powders, etc. that may be preferred by the parent. Please make sure all supplies are
clearly labeled with your child's name. </p></div>]]>
			</field>
			<field id="513" type="type_editor" w_field_label="Custom HTML513">
				<![CDATA[<div class="p-main-text"><p class="text-left">I have discussed my infant's needs and services plan with the center's Director and agree with
the information provided here.  I will notify the Director immediately of any changes in the needs
of my child. </p></div>]]>
			</field>
			<field id="514" type="type_text" w_field_label="Parents Name" w_field_label_size="" w_field_label_pos="top" w_hide_label="no" w_size="" w_first_val="" w_title="" w_required="no" w_regExp_status="no" w_regExp_value="" w_regExp_common="" w_regExp_arg="" w_regExp_alert="Incorrect Value" w_unique="no" w_readonly="no" w_class="undefined" >
			</field>
			<field id="515" type="type_date_new" w_field_label="Date(Toilet planing)" w_field_label_size="" w_field_label_pos="top" w_hide_label="no" w_size="180" w_date="" w_required="no" w_show_image="no" w_class="" w_format="mm/dd/yy" w_start_day="0" w_default_date="" w_min_date="" w_max_date="" w_invalid_dates="" w_show_days="yes***yes***yes***yes***yes***yes***yes" w_hide_time="yes" w_but_val="..." w_disable_past_days="no" >
			</field>
			<field id="518" type="type_text" w_field_label="Center Representative:" w_field_label_size="" w_field_label_pos="top" w_hide_label="no" w_size="" w_first_val="" w_title="" w_required="no" w_regExp_status="no" w_regExp_value="" w_regExp_common="" w_regExp_arg="" w_regExp_alert="Incorrect Value" w_unique="no" w_readonly="no" w_class="undefined" >
			</field>
			<field id="517" type="type_phone_new" w_field_label="Daytime Phone# : " w_field_label_size="" w_field_label_pos="top" w_hide_label="no" w_size="" w_first_val="" w_title="us*:*w_top_country*:*no*:*w_required*:*no*:*w_unique*:**:*w_class*:*" w_mini_labels="" w_required="" w_unique="" w_class="" >
			</field>
			<field id="636" type="type_editor" w_field_label="Custom HTML636">
				<![CDATA[]]>
			</field>
			<field id="519" type="type_date_new" w_field_label="DateToilet planing 2" w_field_label_size="" w_field_label_pos="top" w_hide_label="no" w_size="180" w_date="" w_required="no" w_show_image="no" w_class="" w_format="mm/dd/yy" w_start_day="0" w_default_date="" w_min_date="" w_max_date="" w_invalid_dates="" w_show_days="yes***yes***yes***yes***yes***yes***yes" w_hide_time="yes" w_but_val="..." w_disable_past_days="no" >
			</field>
			<field id="516" type="type_signature" w_field_label="Signature (Toilet planing)" >
			</field>
			<field id="610" type="type_editor" w_field_label="Custom HTML610">
				<![CDATA[<div class="sub-title-form text-center py-20">KIDS ADVENTURE LEARNING CENTER
</div>]]>
			</field>
			<field id="598" type="type_editor" w_field_label="Custom HTML598">
				<![CDATA[<div class="form-body-text"><div class="p-main-text" style="font-size:14px;">
1834 W. Valencia Dr.\r\n
Fullerton, CA 92833</div></div>]]>
			</field>
			<field id="618" type="type_editor" w_field_label="Custom HTML618">
				<![CDATA[<div class="form-body-text"><div class="p-main-text" style="text-align:right!important; font-size:14px;">
Phone: 714-525-7377\r\n
Fax: 714-525-3985
</div></div>]]>
			</field>
			<field id="600" type="type_editor" w_field_label="Custom HTML600">
				<![CDATA[<div class="form-body-text"><p class="pargh-text">Kids Adventure learning uses Remind, a text messaging/email service, to send out
important reminders and/or safety alerts if ever needed. If you would like to be signed up for
Remind text messages/emails please provide your name and preferred cell phone number and
or email below. One or both Parents are wel9ome to sign up. This program is for
PARENTS/GUARDIANS ONLY.
</p></div>]]>
			</field>
			<field id="601" type="type_editor" w_field_label="Custom HTML601">
				<![CDATA[<div class="form-body-text"><p class="pargh-text">Please be aware this is a one way form of communication, no responses to Remind
messages will be received by Kids Adventure Leaming. Please always call the center directly
or stop by the office if you have any questions or concerns. </p></div>]]>
			</field>
			<field id="602" type="type_text" w_field_label="Child's Name: " w_field_label_size="" w_field_label_pos="top" w_hide_label="no" w_size="" w_first_val="" w_title="" w_required="no" w_regExp_status="no" w_regExp_value="" w_regExp_common="" w_regExp_arg="" w_regExp_alert="Incorrect Value" w_unique="no" w_readonly="no" w_class="" >
			</field>
			<field id="603" type="type_text" w_field_label="Classroom: " w_field_label_size="" w_field_label_pos="top" w_hide_label="no" w_size="" w_first_val="" w_title="" w_required="no" w_regExp_status="no" w_regExp_value="" w_regExp_common="" w_regExp_arg="" w_regExp_alert="Incorrect Value" w_unique="no" w_readonly="no" w_class="undefined" >
			</field>
			<field id="604" type="type_editor" w_field_label="Custom HTML604">
				<![CDATA[<div class="sub-title-form-maker">Contact 1</div>]]>
			</field>
			<field id="606" type="type_text" w_field_label="Contact 1 Name" w_field_label_size="" w_field_label_pos="top" w_hide_label="no" w_size="" w_first_val="" w_title="" w_required="no" w_regExp_status="no" w_regExp_value="" w_regExp_common="" w_regExp_arg="" w_regExp_alert="Incorrect Value" w_unique="no" w_readonly="no" w_class="undefined" >
			</field>
			<field id="607" type="type_phone_new" w_field_label="Contact 1 Cell Phone #" w_field_label_size="" w_field_label_pos="top" w_hide_label="no" w_size="" w_first_val="" w_title="us*:*w_top_country*:*no*:*w_required*:*no*:*w_unique*:**:*w_class*:*" w_mini_labels="" w_required="" w_unique="" w_class="" >
			</field>
			<field id="664" type="type_text" w_field_label="Email1" w_field_label_size="" w_field_label_pos="top" w_hide_label="no" w_size="" w_first_val="" w_title="" w_required="no" w_regExp_status="no" w_regExp_value="" w_regExp_common="" w_regExp_arg="" w_regExp_alert="Incorrect Value" w_unique="no" w_readonly="no" w_class="" >
			</field>
			<field id="605" type="type_editor" w_field_label="Custom HTML605">
				<![CDATA[<div class="sub-title-form-maker">Contact 2</div>]]>
			</field>
			<field id="608" type="type_text" w_field_label="Contact 2 Name" w_field_label_size="" w_field_label_pos="top" w_hide_label="no" w_size="" w_first_val="" w_title="" w_required="no" w_regExp_status="no" w_regExp_value="" w_regExp_common="" w_regExp_arg="" w_regExp_alert="Incorrect Value" w_unique="no" w_readonly="no" w_class="undefined" >
			</field>
			<field id="609" type="type_phone_new" w_field_label="Contact 2 Cell Phone #" w_field_label_size="" w_field_label_pos="top" w_hide_label="no" w_size="" w_first_val="" w_title="us*:*w_top_country*:*no*:*w_required*:*no*:*w_unique*:**:*w_class*:*" w_mini_labels="" w_required="" w_unique="" w_class="" >
			</field>
			<field id="665" type="type_text" w_field_label="Email2" w_field_label_size="" w_field_label_pos="top" w_hide_label="no" w_size="" w_first_val="" w_title="" w_required="no" w_regExp_status="no" w_regExp_value="" w_regExp_common="" w_regExp_arg="" w_regExp_alert="Incorrect Value" w_unique="no" w_readonly="no" w_class="undefined" >
			</field>
			<field id="611" type="type_editor" w_field_label="Custom HTML611">
				<![CDATA[<div class="sub-title-form text-center py-20">PreSchool Supply List
</div>]]>
			</field>
			<field id="612" type="type_editor" w_field_label="Custom HTML612">
				<![CDATA[<div class="form-body-text"><p class="pargh-text text-center">Parents please make sure to supply your child's teacher with the
following supplies. If your child is running low on a specific item they
will notify you verbally or by sending home a note.
</p></div>]]>
			</field>
			<field id="613" type="type_editor" w_field_label="Custom HTML613">
				<![CDATA[<div class="form-body-text"><p class="pargh-text text-left"></p><ol class="page-ol"><li>1 standard crib sheet &amp; thin blanket in a clear bag- to be sent
home on Fridays for laundering. Need to be brought back at the
beginning of the week. Please put name on sheets. </li><li>At least 2 pairs of extra clothes in a clear bag with name on
clothes. </li><li>Pencil box with name (Crayons, markers pencils, Elmer's glue)</li><li>POTTY TRAINING: Sleeve of diapers/pull ups with name on
bag and wipes. </li></ol>\r\n\r\n<p class="pargh-text text-left">
OPTIONAL:
\r\n\r\n</p><ol class="text-left"><li>Water bottle/sippy cup with name and current date</li></ol>\r\n\r\n<p class="text-left">Please remember any item brought the classroom MUST be labeled
with your child's name. Thank you!</p></div>]]>
			</field>
			<field id="614" type="type_editor" w_field_label="Custom HTML614">
				<![CDATA[<div class="form-body-text" style="text-align:left;"><p class="pargh-text text-left">Please remember any item brought into the infant/toddler classroom 
MUST be labeled with your child's name. Any food or bottle item
should be labeled with the child's ·name as well as the date it was
brought in; your child's teacher can assist you with this. 
</p></div>]]>
			</field>
			<field id="626" type="type_submit_reset" w_field_label="type_submit_reset_626" w_submit_title="Submit" w_reset_title="Reset" w_class="" w_act="false" >
			</field>
		</fields>
		<form>
			<![CDATA[]]>
		</form>
		<form_front>
			<![CDATA[<div class="wdform-page-and-images fm-form-builder" style="border-width: 1px;"><div id="form_id_tempform_view1" class="wdform_page" page_title="First Page" next_title="Next" next_type="text" next_class="wdform-page-button" next_checkable="true" previous_title="Previous" previous_type="text" previous_class="wdform-page-button" previous_checkable="true" style="" wfd-invisible="true"><div class="wdform_section"><div class="wdform_column"><div wdid="5" class="wdform_row">%5 - Childs' Name%</div></div><div class="wdform_column"><div wdid="9" class="wdform_row" style="position: relative; left: 0px; top: 0px;">%9 - Date of Birth%</div><div wdid="8" class="wdform_row" style="position: relative; left: 0px; top: 0px;">%8 - Age%</div><div wdid="10" class="wdform_row" style="position: relative; left: 0px; top: 0px;">%10 - Gender%</div><div wdid="627" class="wdform_row" style="position: relative; left: 0px; top: 0px;">%627 - Custom HTML627%</div></div><div class="wdform_column"><div wdid="11" class="wdform_row">%11 - Has your child been to a Preschool before?%</div></div><div class="wdform_column"><div wdid="12" class="wdform_row" style="position: relative; left: 0px; top: 0px;">%12 - If Yes, Where and for How long?%</div></div><div class="wdform_column"><div wdid="18" class="wdform_row" style="position: relative; left: 0px; top: 0px;">%18 - Custom HTML18%</div></div><div class="wdform_column"><div wdid="19" class="wdform_row">%19 - Custom HTML19%</div><div wdid="21" class="wdform_row" style="position: relative; left: 0px; top: 0px;">%21 - Monthly $<span>Full Time 5 days</span>%</div><div wdid="22" class="wdform_row" style="position: relative; left: 0px; top: 0px;">%22 - Weekly $<span>Full Time 5 days</span>%</div></div><div class="wdform_column"><div wdid="27" class="wdform_row" style="position: relative; left: 0px; top: 0px;">%27 - Custom HTML27%</div><div wdid="28" class="wdform_row" style="position: relative; left: 0px; top: 0px;">%28 - Monthly $<span>Part Time 3 days</span>%</div><div wdid="29" class="wdform_row" style="position: relative; left: 0px; top: 0px;">%29 - Weekly $<span>Part Time 3 days</span>%</div></div><div class="wdform_column"><div wdid="30" class="wdform_row">%30 - Custom HTML30%</div><div wdid="31" class="wdform_row" style="position: relative; left: 0px; top: 0px;">%31 - Monthly $<span> Part Time 2 days</span>%</div><div wdid="32" class="wdform_row" style="position: relative; left: 0px; top: 0px;">%32 - Weekly $<span>Part Time 2 days</span>%</div></div><div class="wdform_column"><div wdid="33" class="wdform_row">%33 - Matrix%</div></div><div class="wdform_column"><div wdid="35" class="wdform_row">%35 - Request starting date%</div></div><div class="wdform_column"><div wdid="36" class="wdform_row" style="position: relative; left: 0px; top: 0px;">%36 - How did you hear about us%</div></div></div><div valign="top" class="wdform_footer wd-width-100" wfd-invisible="true"><div class="wd-width-100"><div class="wd-width-100 wd-table" style="padding-top:10px;"><div class="wd-table-group"><div id="form_id_temppage_nav1" class="wd-table-row"><div valign="middle" align="left" style="display: inline-block; width: 40%;"></div><div id="page_numbersform_id_temp1" valign="middle" align="center" style="display: inline-block; width: 20%;"></div><div valign="middle" align="right" style="display: inline-block; width: 40%;"><span id="page_next_1" class="wdform-page-button" style="cursor: pointer;">Next</span></div></div></div></div></div></div></div></div><div class="wdform-page-and-images fm-form-builder" style="border-width: 1px;"><div id="form_id_tempform_view2" page_title="Page - 2" class="wdform_page" next_title="Next" next_type="text" next_class="wdform-page-button" next_checkable="true" previous_title="Previous" previous_type="text" previous_class="wdform-page-button" previous_checkable="true" style="" wfd-invisible="true"><div class="wdform_section"><div class="wdform_column"><div wdid="44" class="wdform_row">%44 - Custom HTML44%</div></div><div class="wdform_column"><div wdid="45" class="wdform_row" style="position: relative; left: 0px; top: 0px;">%45 - Mother's Name %</div></div><div class="wdform_column"><div wdid="46" class="wdform_row">%46 - Social Security # %</div><div wdid="47" class="wdform_row" style="position: relative; left: 0px; top: 0px;">%47 - DL #%</div></div><div class="wdform_column"><div wdid="623" class="wdform_row" style="position: relative; left: 0px; top: 0px;">%623 - Address%</div><div wdid="622" class="wdform_row" style="position: relative; left: 0px; top: 0px;">%622 - City%</div></div><div class="wdform_column"><div wdid="624" class="wdform_row" style="position: relative; left: 0px; top: 0px;">%624 - State%</div><div wdid="625" class="wdform_row" style="position: relative; left: 0px; top: 0px;">%625 - Zip%</div><div wdid="54" class="wdform_row" style="position: relative; left: 0px; top: 0px;">%54 - Email%</div><div wdid="55" class="wdform_row" style="position: relative; left: 0px; top: 0px;">%55 - Home Phone%</div></div><div class="wdform_column"><div wdid="57" class="wdform_row" style="position: relative; left: 0px; top: 0px;">%57 - Place of Employment%</div><div wdid="56" class="wdform_row" style="position: relative; left: 0px; top: 0px;">%56 - Cell Phone%</div></div><div class="wdform_column"><div wdid="58" class="wdform_row" style="position: relative; left: 0px; top: 0px;">%58 - Job Title%</div><div wdid="59" class="wdform_row" style="position: relative; left: 0px; top: 0px;">%59 - Work Phone%</div></div><div class="wdform_column"><div wdid="645" class="wdform_row">%645 - Custom HTML645%</div></div><div class="wdform_column"><div wdid="646" class="wdform_row" style="position: relative; left: 0px; top: 0px;">%646 - Fathers's Name%</div></div><div class="wdform_column"><div wdid="647" class="wdform_row" style="position: relative; left: 0px; top: 0px;">%647 - Social Security #Father%</div><div wdid="648" class="wdform_row" style="position: relative; left: 0px; top: 0px;">%648 - DL #Father%</div></div><div class="wdform_column"><div wdid="649" class="wdform_row" style="position: relative; left: 0px; top: 0px;">%649 - AddressFather%</div><div wdid="650" class="wdform_row" style="position: relative; left: 0px; top: 0px;">%650 - CityFather%</div></div><div class="wdform_column"><div wdid="651" class="wdform_row" style="position: relative; left: 0px; top: 0px;">%651 - StateFather%</div><div wdid="652" class="wdform_row" style="position: relative; left: 0px; top: 0px;">%652 - ZipFather%</div><div wdid="653" class="wdform_row" style="position: relative; left: 0px; top: 0px;">%653 - EmailFather%</div><div wdid="654" class="wdform_row" style="position: relative; left: 0px; top: 0px;">%654 - Home PhoneFather%</div></div><div class="wdform_column"><div wdid="655" class="wdform_row" style="position: relative; left: 0px; top: 0px;">%655 - Place of EmploymentFather%</div><div wdid="656" class="wdform_row" style="position: relative; left: 0px; top: 0px;">%656 - Cell PhoneFather%</div></div><div class="wdform_column"><div wdid="657" class="wdform_row" style="position: relative; left: 0px; top: 0px;">%657 - Job TitleFather%</div><div wdid="658" class="wdform_row" style="position: relative; left: 0px; top: 0px;">%658 - Work PhoneFather%</div></div><div class="wdform_column"><div wdid="61" class="wdform_row" style="position: relative; left: 0px; top: 0px;">%61 - Custody Information%</div><div wdid="60" class="wdform_row" style="position: relative; left: 0px; top: 0px;">%60 - Marital Status%</div></div><div class="wdform_column"><div wdid="62" class="wdform_row" style="position: relative; left: 0px; top: 0px;">%62 - List any allergies your child has%</div><div wdid="63" class="wdform_row" style="position: relative; left: 0px; top: 0px;">%63 - My child excels in%</div><div wdid="64" class="wdform_row" style="position: relative; left: 0px; top: 0px;">%64 - My child needs help in%</div></div><div class="wdform_column"><div wdid="65" class="wdform_row" style="position: relative; left: 0px; top: 0px;">%65 - Parent's evaluation of child's personality%</div><div wdid="66" class="wdform_row">%66 - Does your child have any special needs/problems/fears?%</div></div><div class="wdform_column"><div wdid="67" class="wdform_row" style="position: relative; left: 0px; top: 0px;">%67 - Additional information we should know about your child%</div></div><div class="wdform_column"><div wdid="68" class="wdform_row">%68 - Custom HTML68%</div></div><div class="wdform_column"><div wdid="70" class="wdform_row" style="position: relative; 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width: 40%;"><span id="page_next_27" class="wdform-page-button" style="cursor: pointer;">Next</span></div></div></div></div></div></div></div></div>]]>
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