HOME OUR DIRECTOR NEW PISGAH BAPTIST CHURCH DAYCARE SENIOR LIVING HOMES BY NEW PISGAH VET HOME News CONTACT Contact Senior Living Centers New Pisgah Haven Homes Naomi & Sylvester Smith Senior Living Center 8005 S. Racine Ave 8031 S. Halsted street Chicago IL 60620 Chicago, IL 60620 FOR FURTHER INFORMATION CONTACT: Shirley Watkins- Site Manager Cavetta Wilson – Site Manager Call (773) 224-8650 Call (773) 651-6400 Fax (773) 224-8657 Fax ( 773) 651-6404 OFFICE HOURS: 9:00 A.M. to 5:00 P.M., Monday through Friday EQUAL HOUSING OPPORTUNITY Your Name (required) Your Email (required) Subject Your Message click here to download rental application Follow New Pisgah © Copyright 2021 New Pisgah All Rights Reserved Web Design By: Influence Global Medium Group

HOME OUR DIRECTOR NEW PISGAH BAPTIST CHURCH DAYCARE SENIOR LIVING HOMES BY NEW PISGAH VET HOME News CONTACT Contact New Pisgah Baptist Church 8130 S. Racine Ave Chicago, IL 60620 Phone: (773) 873-5392 Your Name (required) Your Email (required) Subject Your Message Follow New Pisgah © Copyright 2021 New Pisgah All Rights Reserved Web Design By: Influence Global Medium Group

HOME OUR DIRECTOR NEW PISGAH BAPTIST CHURCH DAYCARE SENIOR LIVING HOMES BY NEW PISGAH VET HOME News CONTACT Daycare Enrollment Form Date of App Child’s Name Date of Birth Male Female Address City, State, Zip Mother’s Name Home Telephone Mother’s Place of Employment Address Work Phone Father’s Name Place of Employment Address Work Phone Please give the day and hours day care service is needed Emergency Contact Name Address Phone Relationship Child’s Physician Phone Disease History Dates: A copy of the child’s current immunization is required before your child can be enrolled at New Pisgah Day Care Center: Measles Chicken Pox Mumps Whooping Cough German Measles Ear Infection Allergies ( Please list all food and medical alerts) Date of Enrollment Date Discharged Your Name (required) Your Email (required) Follow New Pisgah © Copyright 2021 New Pisgah All Rights Reserved Web Design By: Influence Global Medium Group