Diverse Kindergarten



The following forms will be required at the time of enrollment:

  1. Service Contract

  2. Intake Information Sheets

  3. Emergency Contact Card

  4. Physical Assessment and Health Form

  5. Certificate of Immunizations

  6. Parental Emergency Medical/Dental Consent Form

  7. Release Authorization (Travel and photography-video)

4 year old – additional forms required:

  1. Preschool Enrollment Form

  2. Birth certificate


*A tour of the program and a non-refundable registration fee is also required to reserve your space in our program.*


Enrollment Forms

New Child Packet

Child Physical Form

Toddler Intake form


Weather Watch

Parent Checklist

Supplemental Parent Information


Sunscreen/Lotion Forms

CACFP Required Form

DHS Contract


Food Allergy Form

Rules and Goodbyes

Toddler Intake form


(563) 322-3260 business (563) 650-2627 Celll

(563) 322-6055 fax

121 W 12th St, Davenport, IA 52803, USA

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