Budget Pay Application
Thank you for visiting our budget pay application. Please let us know if you have any questions. Please be aware all of the information you provide to us is subject to further verification. We will need a separate budget pay application for every child you are attempting to enroll.
Email address *
About Yourself & Your Child
Your Full Name *
Your answer
Your Phone Number *
Your answer
Your Email Address *
Your answer
Your Address *
Your answer
Your Child's Full Name *
Your answer
Your Child's Date of Birth *
MM
/
DD
/
YYYY
Ideal Childcare Start Date *
MM
/
DD
/
YYYY
Ideal Childcare Option *
Financial Information
How much can you afford per week of childcare? *
Your answer
How often can you pay? *
How will you pay for tuition? *
What is your gross monthly household income? *
Note: This may be verified prior to approval.
Your answer
Have you applied for DHHS subsidy formerly known as Title XX? *
Your drop-off & pick-up schedule
When entering into a budget-pay plan with Foundations, we require parents to choose and commit to a set drop off & pick up schedule for their child(ren). This helps our teachers plan and also ensures that the budget-pay option is viable for our company. If your child would not attend certain days of the week, leave those days blank. Please note: Our Hickman location is open 6:15am to 6:00pm and our Lincoln location is open 6:30am to 6:00pm.
Mondays: Drop Off
Time
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Mondays: Pick Up
Time
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Tuesdays: Drop Off
Time
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Tuesdays: Pick Up
Time
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Wednesdays: Drop Off
Time
:
Wednesdays: Pick Up
Time
:
Thursdays: Drop Off
Time
:
Thursdays: Pick Up
Time
:
Fridays: Drop Off
Time
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Fridays: Pick Up
Time
:
Additional Questions
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