Prices & Forms

2025 – 2024

Weekly Tuition Rate

Infants: (6 Weeks up to 1 Yr.) $280
Toddlers: (1 Years - 3 Years) $235
Pre-School: (3.1 Years – 5 Years) $225
Before School ONLY $85 or $35 per Hr.
After School ONLY $85 or $35 per Hr.
Before and After School $195

Sibling Discount of 5% for One Child

Weekend Rate (Saturday)

Weekend Infants - $100
2 Years and Up - $90

(CURRENTLY NOT AVAILABLE)

Part-Time Care (Per Day)

Infants (6 Weeks up to 1 Year) $210 5 1/2 Days or $235 3 Full Days
Toddlers (1 Year – 3 Years) $200
Pre-School (3 Years – 5 Years) $150
School Age (5 Years - 12 Years) $110

Summer Camp (JULY AND AUGUST)

ALL ages $200 plus Registration Fee (5 Set Days)
ALL ages $90 plus Registration Fee (3 Set Days)

Child Health Assessment Form

Emergency Contact Parental Consent Form

CHILD’S APPLICATION FOR ENROLLMENT

Date Application Completed or Updated:

Date of Enrollment:

To be competed, signed, and placed on file in facility on the first day and updated as changes occur and at least annually.

CHILD INFORMATION:

Name(Required)

Last: First: Middle Initial:

Date of Birth:

Child's Physical Address:

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

FAMILY INFORMATION:

Name(Required)

Last: First: Middle Initial:

Address (if different from the child’s):

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Work Phone:

Cell Phone:

Home Phone:

Mother/Guardian Name:

Name(Required)

Last: First: Middle Initial:

Address (if different from the child’s):

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Work Phone:

Cell Phone:

Home Phone:

CONTACTS: Child will be released only to the parents/guardians listed above The child can also be released to the i0110Mfing individuals, as authorized by the person who signs this application

Name

Relationship

Phone Number

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Name

Relationship

Phone Number

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

In the event of an emergency, if the parents/guardians cannot be reached, the facility has permission to contact the following individuals.

Name

Relationship

Phone Number

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Name

Relationship

Phone Number

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

HEALTH CARE NEEDS:

For any child with health needs such as allergies, asthma, or other chronic conditions that require specialized health services, a medical action plan shall be attached to the application- The medical action plan must be completed by the child’s parent or health care professional. Is there a medical action plan attached?

Yes

List any allergies and the symptoms and type of response required for allergic reactions:

List any health care needs or concerns, symptoms of and type of response for these health care needs or concerns:

List any particular fears or unique behavior characteristics the child has:

List any types of medication taken for health care needs:

Share any other information that has a direct bearing on assuring medical treatment for your child”

EMERGENCY MEDICAL CARE INFORMATION:

Name of health care professional

Office Phone

Hospital Preference

Phone

I, as the parent/guardian, authorize the center to obtain medical attention for my child in an emergency.

Signature of Parent/Guardian

Date

l, as the operator, do agree to provide transportation to an appropriate medical resource in the event of emergency. in an emergency, other children in the Facility will be supervised by a responsible adult. I will not administer any drug or any medication without specific instructions from the physician or the child’s parent, guardian, or fill-time custodian.

Signature of Administrator

Date

Revised 2/2022

Phone

This field is for validation purposes and should be left unchanged.