MU Child Development Laboratory: Application for Enrollment Form

Department of Human Development and Family Studies

	CDL Parents
	CDL Personnel
	MU Students
	MU Instructors
	MU Researchers

	BLUE DOOR Infant/Toddler About Blue Door

	GREEN DOOR Preschool About Green Door
	YELLOW DOOR Preschool About Yellow Door
	RED DOOR Preschool About Red Door-PS

	RED DOOR School Age About Red Door-SA

Application for Enrollment Form

Please complete a form for each child you would like to enroll. Complete all fields. If your child is not yet born, complete as much information as possible. Then update your card after your child is born.

During the enrollment period, or when an opening becomes available, we will look at the existing class make-up and fill the opening(s) in such a way to allow for a range of ages and a balance of boys and girls. At times we also strive to maximize diversity in terms of family income and/or structure, race and ethnicity, and special needs. Because the CDL's primary purpose is teacher training, we use this enrollment system to ensure that the CDL is representative of the community at large, and that our students are exposed to a variety of children and families.

Check One:
New Application
Update to Previous Card

Child's Name:

Child's Date of Birth
(or expected date*):

Do you consider your family of minority status? If yes, please explain:

Child's Sex:
Male Female

Does your family qualify for Family Support Division (FSD) Child Care Subsidy?
Yes No Not Sure More Info: DSS Web Site

Does your child have special needs? If yes, please explain:

Parent (1) Name:	Home Phone:
Work Phone:	Cellular Phone:
Home Address:
E-Mail Address:
Parent (2) Name	Home Phone:
Work Phone:	Cellular Phone:
Home Address:
E-Mail Address:

Names of Other Children in Home (include age and relation)

Child Care Needs:
Full-day, full-year Infant Toddler Program (Blue Door)
Full-day, full-year Preschool Program (Yellow or Green Door)
Part-day, part-year Preschool Program (Red Door Preschool)
School-Age Program (Elementary School: )

Any Previous Child Care Programs Attended by Your Child:

*All applications are filed by date of birth. If you do not update your card once your child is born, your child will not be considered for enrollment openings.


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