Enrollment  

 

 
  Please download, print, and complete the following forms.  Forms require Adobe Acrobat Reader to view.  Please mail or drop off the completed forms to us at the address below.

Googols of Learning
500 Rockledge Road
Lawrence, KS 66049
Preschool Enrollment Form
 		 Required for on-going child care only.  Both State of Kansas forms are required as well.

Note:  This does not guarantee enrollment.  You may be placed on a waiting list.  Please contact the Program Director if you require additional information.
After School Enrollment Form This form is required for any school-age childcare whether it is drop-in during school closings, after-school, or for our summer camps.  Both State of Kansas forms are required as well.

Note:  This does not guarantee enrollment.  You may be placed on a waiting list.  Please contact the Program Director if you require additional information.
After School at WVE Enrollment Form Required for on-going child care only.  This form is for children enrolling in the After School program at Wakarusa Valley Elementary.  Both State of Kansas forms are required as well.

Note:  This does not guarantee enrollment.  You may be placed on a waiting list.  Please contact the Program Director if you require additional information.
Medical Record Form

(State of Kansas)

 Required for all child care.

The Child Health Assessment Form (Page 1) must be signed by a physician.  If your child has had a checkup within the last 6 months, your doctor's office may provide us with the form based on the most recent appointment.  The Immunization Record (Page 2) may also be provided by your doctor's office.  They may fax both pages to us at 785.856.6003.

 
Authorization for Emergency Medical Care Form

(State of Kansas)

 Required for all child care. 

This form must be notarized.  Googols generally has a notary on-site on Mon-Thurs from 9 AM to 5 PM.  We recommend that you call first to confirm availability.
Short-Term Medication Form

 

(State of Kansas)

 Required only if you are providing prescription OR non-prescription medication to be administered temporarily or occasionally, while in our care.  All medications must be in the original packaging and labeled with the child's name.  All prescription meds must also have a label with Doctor's name, dosage, and expiration date.  Do not bring expired medications of any kind. 
Long-Term Medication Form

 

(State of Kansas)

 Required only if you are providing prescription OR non-prescription medication to be administered  on a constant, daily, or regular basis, while in our care.  All medications must be in the original packaging and labeled with the child's name.  All prescription meds must also have a label with Doctor's name, dosage, and expiration date.  Do not bring expired medications of any kind. 
 
Googols of Learning...Setting the Standard in Early Childhood Education...Zero in on Education!