Early Morning Drop-Off Application
The cost will be $50.00 per month, per child. Payments must be received on the first of each month. There will be a $10.00 late fee added each additional week that payment is not received. The first payment for August 2019 is due by the 12th. Please know that the cost is $50.00 per month even if you choose to only utilize this service for different days throughout the week. The fee will not be prorated for the months that have vacation weeks in them or vacation days. This service is only running our families $2.50 per hour. We are excited that we are able to provide your child with high quality care for this low rate.

Early morning drop-off from 6:30 - 7:30 A.M.
Please initial beside the months that you need early morning drop off. *
Required
Name of Child *
Your answer
Home Address *
Your answer
Parent/Guardian 1 *
Your answer
Home Phone *
Your answer
Cell Phone *
Your answer
Work Phone *
Your answer
Parent/Guardian 2
Your answer
Home Phone
Your answer
Cell Phone
Your answer
Work Phone
Your answer
Name of individual who will be dropping off your child in the morning. *
Your answer
Relationship to the child. *
Your answer
Allergies *
Your answer
Health Concerns *
Your answer
I have read and agreed to the tuition listed above on this form. *
Date *
MM
/
DD
/
YYYY
Submit
Never submit passwords through Google Forms.
This form was created inside of Holly Hill Academy. Report Abuse