Child Registration (easy form)
Pulse of Life Church daycare short version application form for families seeking to enroll at Pulse of Life Kids Care Center. Please submit one application per child.
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Email *
Name of Parent(s)
Address
Primary phone number
Primary email address
*
Child's name
*
Child's date of birth
*
MM
/
DD
/
YYYY
Number of siblings
*
Desired start date
*
MM
/
DD
/
YYYY
Which plan are you wishing to sign up for?
*
Required
Do you participate in the SD Family Assistance program for tuition payment assistance?
*
Do you plan to participate in the prepared hot lunch program?
*
Do you plan to participate in the prepared hot breakfast program?
*
NOTE
Thank you for your interest in our church daycare. Please allow 1-2 days for processing. Someone from our enrollment team will get back to you with a response. To followup on this request, please email childcare@pulseoflife.org or call 605-659-4744. Our rates are available online.
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