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Pre-Enrollment Application

After reviewing our Enrollment and Tuition Guide and Policy Handbook pages, please fill out the form below to begin the application process to enroll your child in our daycare. If you have multiple children to enroll, please fill out a form for each individual child.

Please note that we do not schedule walk-throughs of our daycare without receiving a pre-enrollment application in advance and speaking with you further. Appointments to meet us will be set via text or e-mail after we’ve received your application.*

Child's Name

First Name

Last Name

Child's Birthday

YYYY

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Child's Allergies/Health Concerns

Child's Food Likes and Dislikes

Special Dietary Needs

Usual Nap Time and Duration

From ______ to ______ for ______ hours

What would you like us to know about your child?

Parent/Guardian Name

First Name

Last Name

Phone

(###)

###

####

Parent/Guardian Name

First Name

Last Name

Phone

(###)

###

####

Siblings

Name and Age

Previous Daycare and Reason for Leaving

If none, write N/A

What would you like us to know about your family?

Days of the Week care is needed

Monday

Tuesday

Wednesday

Thursday

Friday

Desired drop off and pick up times

Drop off can be scheduled for a set time between 7:00am-8:15am and pick up can be scheduled for a set time at or before 4:45pm.

Desired Start Date

YYYY

Additional Schedule Notes or Questions

Will you be utilizing state assistance pay (MDHHS)?

If yes and are already approved, how many hours are you authorized for bi-weekly?

Contact Us

Pre-Enrollment Application

After reviewing our Enrollment and Tuition Guide and Policy Handbook pages, please fill out the form below to begin the application process to enroll your child in our daycare. If you have multiple children to enroll, please fill out a form for each individual child.

Location

Hours

Contact