Fort Hays State University

Fort Hays State University

Victor E. Tiger

Fort Hays State University

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Tiger Tots Application

Please Note: All of the below questions must be answered for the enrollment of each child through the admission's priority rankings.

Tiger Tots enrolls children who have reached the age of 30 months
Children need to be toilet trained prior to admittance.

The Following immunizations are required:

DPT- 4 shots (5 shots by kindergarten)
Oral Polio- 3 (4 by kindergarten)
MMR (Measles, Mumps, and Rubella)
Tuberculosis- one immunization

Consideration for admission to the Center will be based on a first come - first serve basis. Please contact the Center if you have any questions.


Natalie J. Unruh, Director
E-mail address: nunruh@fhsu.edu
Tiger Tots Nurtury Center/Rarick Hall 109
Fort Hays State University
Hays, KS 67601
Phones: (785) 628-4101 (Center)
(785) 628-6380 (Natalie's home number)

Laura L. Shoaff, Teacher
Tiger Tots Nurtury Center/Rarick Hall 109
Fort Hays State University
Hays, KS 67601
Phones: (785) 628-4101 (Center)
(785) 625-6885 (Laura's home number)

Child's Name

First:

Last:

Nickname:

Age in Months (By Sept. 1)

Birthdate MM/DD/YY:

Gender: F M

Child's Address:


Mother's Name:
Last:
First:

Hays Address:

Other Address:

Place of Employment:

Phone: Home:
Office:

Father's Name:

Last:

First:

Hays Address:

Other Address:

Place of Employment:

Phone: Home:
Office:

Parental Status: Couple Parent: Single Parent

Mother's Classification: Fresh. Soph. Jr. Sr.
Grad Full-time Student: Part-time Student

Father's Classification: Fresh. Soph. Jr. Sr.
Grad Full-time Student: Part-time Student

Child's Enrollment at Tiger Tots:
Full-day enrollment (4-8 hours): 5 days 3 days: 2 days:
Half-day enrollment (2-4 hours): 5 days 3 days: 2 days:

Monthly Family Income: (check one up to amounts listed below)
$300 per month $500 per month
$700 per month $900 per month

Student Affairs Webmaster
Updated 02/09/2004



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