2023 - 2024 Pompton Lakes Daycare Center Enrollment Form (Summer Camp registration is a different form.)
Susan Koger, Supervisor of Childcare


Address: 316 Lakeside Avenue, Pompton Lakes, New Jersey 07442 Phone: 973-248-8225
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Email *
Enrollment Information
This form is the FIRST STEP in the Pompton Lakes Daycare Center (PLDC) enrollment process for the September 2023 - June 2024 school year.  

Class sizes are limited and enrollment will be based upon availability.

Thank you for choosing Pompton Lakes Daycare Center!  We look forward to welcoming your child in our learning community. Please complete one enrollment form for each child enrolled.

Fees:
A $25 family, non-refundable enrollment fee (payable to NRESC) is required upon enrollment. This fee is separate from the tuition fee. 

Last month's tuition for June 2024 is expected when the NRESC has sent you notification that your registration is accepted in order to reserve a place for your child.  If tuition is not received within one week of notification, your reservation will be cancelled and given to another student. A link for electronic payments will be in the email sent upon acceptance of your registration.

There are no refunds, deductions or make-up days for missed time due to illness, vacations or any other circumstances.

Please be advised there is no longer an "on demand" option for the PLDC.  You must register for a 2, 3, 4 or 5 day program as indicated below.


ENROLLMENT DEADLINE: APRIL XX, 2023
Parent/Guardian Information
Parent/Guardian #1 First & Last Name *
Parent/Guardian #1 Email Address *
Parent/Guardian #1 Phone *
Parent/Guardian #2 First & Last Name *
Parent/Guardian #2 Email Address *
Parent/Guardian #2 Phone *
Enrollment information
Child's Last Name *
Child's First Name *
How old will your child be on October 15, 2023?
Clear selection
Your child is expected to be potty-trained before entering this program.  Is your child potty-trained? *
I would like to enroll my child in the following program for FULL DAYS (8:00am-3:00pm): *
I would like to enroll my child in the following half-day program for MORNING HALF DAYS (8:00am-11:30am): *
I would like to enroll my child in the following half-day program for AFTERNOON HALF DAYS (11:30am-3:00pm): *
Please choose which 4, 3, or 2 days your child will be attending Daycare: *
Required
My child also needs Before Care (7:00am-8:00am).  I would like to enroll my child in the following Before Care program: *
Please choose which 4, 3, or 2 days your child will be attending Before Care (7:00am-8:00am):
*
Required
My child needs After Care (3:00pm-6:00pm).  I would like to enroll my child in the following After Care program: *
My child needs After Care (3:00pm-4:30pm).  I would like to enroll my child in the following After Care program: *
Please choose which 4, 3, or 2 days your child will be attending After Care:
*
Required
I acknowledge that submission of this form does not automatically enroll my child into the Pompton Lakes Daycare Center.  I will be notified that my registration has been accepted and tuition for June 2024 will be expected within one week of acceptance of my registration.  *
Provide the name of the person completing this form. *
A copy of your responses will be emailed to the address you provided.
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