Child Questionnaire

Health

Please include in your answers all that applies

Social

Family

Age Related

Preschoolers

School Age

ALL CHILDREN

Proof of Identity

Virginia law requires proof of a child's identity and age upon enrollment unless the child is currently enrolled in public school and Haymarket Children's Academy assumes responsibility for the child directly from school. This proof includes a birth certificate, passport, or public school certification. Please bring a document proving your child's identity to parent orientation.