Form 1

Enrollment / Tuition agreement / Parent and provider contract

Date of application *

Date of start *

Child’s name *

Sex *

Age *

Birthdate *

Home address/city/zip *

Parent name 1 *

Home phone *

Mobile *

Work *

Email address *

Home address/city/zip *

Parent name 2

Home phone

Mobile

Work

Email address

Home address / city / zip

1. Daycare Payments can be made by Brightwheel or check made payable to: Teddykids Bilingual Daycare

2. We are open Monday through Friday (7:00 am to 6:00pm).

3. I/we will be need childcare for our child normally beginning at o’clock

and ending at o’clock

4. Please mark the days of the week you will need childcare. *MondayTuesdayWednesdayThursdayFriday

5. Check one… *Option 1: I/We prefer to pay weekly (due on Monday of each week).Option 2: I/We prefer to pay monthly (due on the 1st of each month).

6. Type of care (please check the type of care) *ToddlerPreschoolPre-kFull Time CarePart Time Care

Note: To figure out the monthly payment you do the following (weekly amount × 52 weeks ÷ 12 months).

7. Our weekly or monthly selected tuition price is (refer to price sheet) $non- refundable registración fee. Upon receipt of the enrollment / tuition agreement is require.

8. The amount of $non- refundable registración fee. Upon receipt of the enrollment / tuition agreement is require.

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