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NOW ENROLLING INFANT, TODDLER, AND PRESCHOOL!

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
Month
Day
Year

FAMILY INFORMATION

DESIRED WEEKLY SCHEDULE

Will your days of the week vary?

Monday

Drop-Off Time
Time
HoursMinutes
Pick-Up Time
Time
HoursMinutes

Tuesday

Drop-Off Time
Time
HoursMinutes
Pick-Up Time
Time
HoursMinutes

Wednesday

Drop-Off Time
Time
HoursMinutes
Pick-Up Time
Time
HoursMinutes

Thursday

Drop-Off Time
Time
HoursMinutes
Pick-Up Time
Time
HoursMinutes

Friday

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

DAYCARE ENROLLMENT

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