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NOW HIRING EARLY CHILDHOOD EDUCATORS!

ENROLLMENT APPLICATION

Welcome! Please read our Policies and complete this child care application as honestly and completely as possible. This application does not automatically enroll your child, but helps determine if this child care facility is a good fit for your child and family.

Sex
Date of Birth

FAMILY INFORMATION

DESIRED WEEKLY SCHEDULE

Will your days of the week vary?

Monday

Drop-Off Time
:
Pick-Up Time
:

Tuesday

Drop-Off Time
:
Pick-Up Time
:

Wednesday

Drop-Off Time
:
Pick-Up Time
:

Thursday

Drop-Off Time
:
Pick-Up Time
:

Friday

Drop-Off Time
:
Pick-Up Time
:
daycare classroom

DAYCARE ENROLLMENT

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