Name of Parent or Legal Guardian #1 *
Name of Parent or Legal Guardian #1
Phone # for Parents/Guardian #1 *
Phone # for Parents/Guardian #1
Name of Parent or Legal Guardian #2
Name of Parent or Legal Guardian #2
Phone # for Parent/Guardian #2
Phone # for Parent/Guardian #2
Emergency Contact *
Emergency Contact
Emergency Contact Phone *
Emergency Contact Phone
Authorized Pickup *
Authorized Pickup
Authorized Pickup
Authorized Pickup
Authorized Pickup
Authorized Pickup
Please fill out your name as consent for Informed Consent & Acknowledgement.
Please fill out your name as consent to Medical Release and Authorization.
Please fill out your name as consent to Liability.
Please fill out your name as consent for Photo/Video Release.
Confirmation - I have read and understand all the above. *

Enroll

2018/2019

If you are a prospective parent that is interested in enrolling your child(ren) at LINDEN TREE LEARNING, please fill out this form. Fill out one form per family! Make sure to list each child that you intend to enroll. You will receive a confirmation email when you submit your form. If you do not receive this email, call us at 714-868-6215 to make sure that we received your form.