Pre-enrollment Form Download Pre - Enrollment Form Applications Your Pre -Enrollment Application CHILDCARE SCHEDULE NEEDEDCHILD’S NAME:AGE:ARE YOU SEEKING ENROLLMENT FOR MORE THAN ONE CHILD? YES OR NO IF YES PLEASE INCLUDE THE INFORMATION IN THE COMMENT SECTION BELOW.PARENT’S NAME:PHONE NUMBER:EMAIL ADDRESS:CHILDCARE PROGRAM:POTENTIAL START DATE:CHILDCARE PAYMENT ASSISTANCE PROGRAM:MONDAY:FROMTUESDAY:FROMWEDNESDAY:FROMTHURSDAY:FROMFRIDAY:FROM*PLEASE CONTACT ADMISSION AND RECORDS REGARDING AFTER HOUR CARE FOR THE 24/7 CHILDCARE PROGRAM.ADDITIONAL COMMENTS:Submit Form
