Child Care for 18 - 30 month old Pre-Registration
At this time this is pre-registration. This is not an enrollment form. We will contact you with the next steps for enrollment once they become available.

Hours:
6:00 am - 6:00 pm
Monday - Friday

We are open year round.

Expected cost:
$40  - 5 days
$45 - 4 days or less

Cost will include all meals while your child is here.
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Parent/Guardian Full Name:
Primary Phone Number:  
  Email Address:  
Preferred contact method
Child's Full Name:  
Date of Birth
MM
/
DD
/
YYYY
Approximate days care will be needed (check all that apply)
Approximate times care will be needed (start):
Time
:
Approximate times care will be needed (end):
Time
:
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