Child's Admission Record

Complete this enrollment form to begin the admission process. All fields from the original admission form are included below.

Review Our Parent Handbook First

Before enrolling, we encourage you to read through our Parent Handbook. It covers our policies, daily routines, and everything you need to know about our program.

Tuition & Rates

Current weekly & daily rates

Full-Time — Under 2 or Not Potty Trained

$350per week

Full-Time — Over 2

$300per week

Daily Care — All Ages

$100per day

Minimum 2 days

Drop-In Care

$90per day

School Transportation

$25per week

Not offered at this time

All fees must be paid prior to care. Please review the Parent Handbook above for our complete fee and payment policy.

Child Info

Parent Info

Medical

Permissions

Contract

Child Information

Date of Enrollment

Child's First Name *

Child's Last Name *

Nickname (if any)

Date of Birth *

Other Family Members

Other children in family (name, age, gender)

Other adults in family home (relationship to child)