Child Enrollment Online Application
First and Last Name of Child *
Child's Age *
Child's Date of Birth *
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Child's Gender: *
(1) Name of Parent / Guardian *
Email *
Address *
Phone number *
Employer *
Employer Work Phone *
Work Address *
(2) Name of Parent / Guardian *
Email *
Address *
Phone Number *
Employer *
Employer Work Phone *
Work Address *
Child will attend day care weekly on the following days (please circle which applies): *
Required
Start Date: *
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Main Street Day Care's hours of operation are 6:30a - 6p.
*** Upon enrollment the following is required:
- Complete application.
- Registration fee of $99 (this fee is due every year on 
  Sept. 1st).
- 1 week deposit. 
- 1st week tuition.
- The oldest sibling will receive a 10% reduction in 
  tuition rates if enrolled in full time child care.
- Church members (someone who attends and serves at 
  the church regularly) will receive a 10% reduction in 
  tuition rates of the oldest enrolled child.
- Tuition is due on a weekly basis the Friday before the
  week starts through our Brightwheel App. A reminder 
  will be posted on the App. A late fee of $25.00 will be 
  charged if the tuition is not paid on the due date.
- A fee of $20.00 is charged for every 10 minute 
  increment that your child(ren) remains in our care after 
  6p.
- There will be a $35.00 fee for any check that is 
  returned to our facility.
- In quoting rates, we have taken into account snow days, holidays, illnesses, and vacations into consideration and there will be no credits given. Sorry for any inconvenience. We do not allow school aged children to attend during delayed openings or early dismissals from school due to weather or emergencies. Tuition is due whether your child attends or not.
- School will be closed on the special holidays and staff training days listed on the attached Special Holidays 2022-23 Form and updated annually; Tuition is still due for these holidays and closures.
*
Required
Parent / Guardian Typed Signature *
Date Signed *
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