THE VILLAGE CHILD DEVELOPMENT CENTER #1, INC. ENROLLMENT APPLICATION AND AGREEMENTMarch 14th, 2014
FiledMarch 14th, 2014Full day (6:30 am – 6:30 pm) 11 hours max Full day (6:30 am – 6:30 pm) 11 hours max Private Kindergarten Private Kindergarten Before & After School * Before & After School * Other Other Days:Mon Tues Wed Thurs Fri Days:Mon Tues Wed Thurs Fri *If your child is attending our Before & After School Program, please complete the information below: School: Grade(s): Drop-Off: a.m. Pick-up: p.m. MOTHER or Guardian: Home Phone: Home Address: Employer: Work Phone: Employer Address: Occupation: Mobile Phone: Email FATHER or Guardian: Home Phone: Home Address: Employer: Work Phone: Employer Address: Occupation: Mobile Phone: Email: STATUS OF CHILD’S PARENTS: Married: Separated: Divorced: Other: