Register | My Site

Parent/Guardian #1 Name

Parent/Guardian #1 Phone Number

Parent/Guardian #1 Email

Child's Full Name

Child's Home Address

Has the child been in daycare before?

Yes

No

Does your child have any allergies? Dietary restrictions? Or any special needs? Does your child take any medications? If so, please list them and when they need to be taken.

Please list the names and phone numbers of people that are allowed to pick up your child from daycare. It would also help to include how they know your child.

Enrollment Fee

Enrollment Fee ($30) $30

Full Time or Part Time

Full Time - $150 a week

Part Time 4 Days - $160 a week.

Part Time 3 Days - $135 a week.

Part Time 2 Days - $100 a week.

Part Time 1 Day - $60 a week.

Register Your Child Today!