Early Care Registration

Monday – Friday from 7:30 am-7:40 am

Yearly rate: $75

Monday – Friday from 7:00 am-7:40 am

Monthly rate: $150

Monday – Friday from 7:30 am-8:40 am

Monthly rate: $140

Monday – Friday from 7:00 am-8:40 am

Monthly rate: $240

"*" indicates required fields

No of Children

First Child's Name

First Last

First Child Grades Early Care

Second Child's Name

First Last

Second Child Grades Early Care

Third Child's Name

First Last

Third Child Grades Early Care

Parent Name*

First Last

Parent Email*

Address*

Street Address Address Line 2 City State ZIP Code

Phone*

Total

Credit Card

Card Details

Cardholder Name

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