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    Registration Form/Waiting List: Days/Hours of Care Desired

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    geelc_2004
    A $50 non-refundable registration fee is required to place a child on the waiting list for Great Expectations Child Care. The registration form requests information such as the child's name, age, date of birth, desired start date, and preferred days and hours of care. It also collects contact information for the parents/guardians including address, phone number, email, place of employment, and social security number. By signing the contract agreement, parents agree to abide by center policies including payment of tuition, early drop-off/late pick-up fees, a two week notice for termination, and hourly charges for care over 10 hours per day.

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    Attribution Non-Commercial (BY-NC)
    Download as PDF, TXT or read online from Scribd

    Registration Form/Waiting List: Days/Hours of Care Desired

    Uploaded by

    geelc_2004
    33 views1 page
    A $50 non-refundable registration fee is required to place a child on the waiting list for Great Expectations Child Care. The registration form requests information such as the child's name, age, date of birth, desired start date, and preferred days and hours of care. It also collects contact information for the parents/guardians including address, phone number, email, place of employment, and social security number. By signing the contract agreement, parents agree to abide by center policies including payment of tuition, early drop-off/late pick-up fees, a two week notice for termination, and hourly charges for care over 10 hours per day.

    Original Title

    Registration Form

    Copyright

    © Attribution Non-Commercial (BY-NC)

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    A $50 non-refundable registration fee is required to place a child on the waiting list for Great Expectations Child Care. The registration form requests information such as the child's name, age, date of birth, desired start date, and preferred days and hours of care. It also collects contact information for the parents/guardians including address, phone number, email, place of employment, and social security number. By signing the contract agreement, parents agree to abide by center policies including payment of tuition, early drop-off/late pick-up fees, a two week notice for termination, and hourly charges for care over 10 hours per day.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    33 views1 page

    Registration Form/Waiting List: Days/Hours of Care Desired

    Uploaded by

    geelc_2004
    A $50 non-refundable registration fee is required to place a child on the waiting list for Great Expectations Child Care. The registration form requests information such as the child's name, age, date of birth, desired start date, and preferred days and hours of care. It also collects contact information for the parents/guardians including address, phone number, email, place of employment, and social security number. By signing the contract agreement, parents agree to abide by center policies including payment of tuition, early drop-off/late pick-up fees, a two week notice for termination, and hourly charges for care over 10 hours per day.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PDF, TXT or read online from Scribd
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    of 1

    690 Johnson Street

    Watertown, WI 53094
    (920)262-3588
    Fax (920)262-3589
    Email [email protected]

    Registration Form/Waiting List

    A $50.00 non-refundable fee for each family is to be paid at the time of registration.
    Name of Child
    ________________________________________________________________
    Age of Child ___________________________________________________________________
    Date of Birth _________________________________________________________________
    Desired Start Date ___________________________________________________________________
    Days/Hours of Care Desired:
    Monday

    Tuesday

    Wednesday

    Thursday

    Friday

    ___ to ___

    ___to___

    ___to___

    ___to___

    ___to___

    Parent/Guardian Name ______________________________________________________________


    Address _______________________________________________________________
    Phone Number _______________________________________________________________
    Email Address ________________ ________________________________________________
    Place of Employment & Phone Number_________________________________________
    Social Security Number _______________________________________________________
    Parent/Guardian Name ______________________________________________________________
    Address _______________________________________________________________
    Phone Number _______________________________________________________________
    Email Address ________________ ________________________________________________
    Place of Employment & Phone Number_________________________________________
    Social Security Number _______________________________________________________
    Has child been in Child Care before? Y or N
    How did you learn about Great Expectations?
    If referred, name of referral

    Internet

    Phone Book

    Referral

    Contract Agreement:

    I agree to abide by all center policies, explained further in the Family Handbook. This includes
    tuition payment, early drop-off / late pick-up and absence policies. I understand Great
    Expectations requires a two week written notice before terminating enrollment and that I am
    responsible for payment of these two weeks regardless of attendance. Any scheduled hours of
    attendance over 10 hours per day will result in hourly charges up to a maximum of 12 hours of care
    per day, per state regulations. I understand all registration, enrollment and tuition fees are nonrefundable. Failure to follow center policies may result in termination of enrollment.

    Parent Signature

    Date

    ----------------------------------------------------------------------------------------------------------Office use only

    Fee Paid
    ___cash
    Date & Initials

    ___check #_________
    Enrollment Starts ___________________

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