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I’m New
About UHC
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Campuses
Hampton Heights (Greenville)
Grace Church (Greenville)
Church at the Mill (Spartanburg)
Staff
Board of Directors
Handbook
Jupiter Ed
Homeschool Life (HSL)
Job Openings
Support Us
Academics
Elementary School
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Academic Calendar
Greenvillle 23-24
Spartanburg 23-24
Learning Differences
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Nursery Child Info Form
Please fill out a separate form per child. Thank you!
Nursery Child Info Form
Which statement best describes your nursery aged child(ren):
My child needs to attend the GVL Campus: Birth - 1 Year Nursery
My child needs to attend the GVL Campus: 1 - 2 Year Nursery
My child needs to attend the GVL Campus: 2 - 3 Year Nursery
My child needs to attend the SPT Campus- Infant Nursery (ages 0-18 months)
My child needs to attend the SPT Campus- Toddler Nursery (ages 18 months - 3 years old)
Parent Name
(Required)
First
Last
Parent Email
(Required)
Parent Phone Number
(Required)
Can this number receive texts?
(Required)
Yes
No
At which Greenville campus will you be primarily working or volunteering?
(Required)
Grace Church- Taylors (Middle & High School campus)
Hampton Heights (Elementary campus)
Child's Name
(Required)
First
Last
Child's Birthdate
(Required)
MM slash DD slash YYYY
Please list all the days your child will attend the nursery.
(Required)
Does your child have any known allergies? If yes, please include an explanation.
(Required)
Does your child have any known medical concerns? If yes, please include an explanation.
(Required)
Emergency Contact #1
(Required)
Please list name, relationship, and phone number.
Emergency Contact #2
(Required)
Please list name, relationship, and phone number.
Please list anyone who IS ALLOWED to pick up your child from the nursery. If their name is not on the list, they can not pick up your child.
(Required)
Please list your child's siblings:
(Required)
Name
Age
Add
Remove
Is there anything else that you think might be helpful for us to know?
Infant Questions
Does your baby have a lovey? If yes, please describe.
(Required)
Does your baby have a paci? If yes, please describe.
(Required)
Are there any special instructions for diaper changes?
(Required)
Please describe your baby's sleeping patterns/daytime nap routines.
(Required)
Do you rock them, then put them down?
Yes
No
Do you just put them down and let them cry it out? If yes, how long do you let them cry?
Do they prefer complete darkness?
Yes
No
Do you play music or white noise while they are sleeping?
Yes
No
Do they sleep on tummy or back?
Tummy
Back
Other
How does your baby like to be held?
Upright
Against you
Laying back in your arms
Football hold
What temperature does your baby like their bottle or food?
Cold
Barely warm
Warm
Are there any special instructions for feeding your child?
(Required)
1-2 Year Room
Has your child been in any type of structured setting? (ex. Sunday School, Mother’s Morning Out, Story Time, Kindermusik) If yes, please list:
(Required)
Does your child have a lovey? If yes, please describe.
(Required)
Does your child have a paci? If yes, please describe.
(Required)
Are there any special instructions for diaper changes?
(Required)
Please describe your child's daytime nap routines.
(Required)
Are there any special instructions for feeding your child?
(Required)
List 5 words to describe your child and their personality:
(Required)
My child is great at:
(Required)
My child needs extra help with:
(Required)
Toddler Questions
Does your child wear diapers? If so, any special instructions?
(Required)
Is your child potty training? If so, any special instructions?
(Required)
Has your child been in any type of structured setting? (ex. Sunday School, Mother’s Morning Out, Story Time, Kindermusik) If yes, please list:
(Required)
List 5 words to describe your child and their personality:
(Required)
My child is great at:
(Required)
My child needs extra help with:
(Required)
Does your child have a lovey or comfort item? If yes, please describe what it is.
(Required)
Are there any food restrictions or special instructions for feeding your child?
(Required)
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