Enrollment Application

By submitting this application, you are entering a binding enrollment contract with The Bridges Child Care & Preschool. You will still need to submit the 50% deposit payment within 7 days via mail or drop off at the center.

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Child’s Name:

Age:

Birthdate:

Program:

# of Days Enrolling:

First Date of Care:

Pick-Up Time (estimated):

Arrival Time (estimated):

Parent #1:

Parent #1 Address:

Parent #1 Home Phone:

Parent #1 Work Phone:

Parent #1 Cell Phone:

Parent #1 Email:

Parent #2:

Parent #2 Address:

Parent #2 Home Phone:

Parent #2 Work Phone:

Parent #2 Cell Phone:

Parent #2 Email:

I understand that by submitting this application, I am entering a binding enrollment contract with The Bridges Child Care & Preschool.

I certify that all the information I have provided on this enrollment form is true. I understand this form will hold my child’s spot for seven (7) days until the 50% deposit payment is received.

Enrollment Application

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