Bright Beginnings CDC, LLC - Home · Web viewAuthor Danielle Created Date 03/22/2019 07:52:00 Last...

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Waiting List Childs Name: ______________________________ DOB: __/__/____ Age: ___yr. ___ mo. Sex: M/F Childs Name: ______________________________ DOB: __/__/____ Age: ___yr. ___ mo. Sex: M/F Childs Name: ______________________________ DOB: __/__/____ Age: ___yr. ___ mo. Sex: M/F Childs Name: ______________________________ DOB: __/__/____ Age: ___yr. ___ mo. Sex: M/F Mother’s Name: ___________________________ Father’s Name: __________________________ Mother’s Home Phone: ____________________ Father’s Home Phone: ___________________ Mother’s Cell Phone: ______________________ Father’s Cell Phone: _____________________ Mother’s Work Phone: _____________________ Father’s Work Phone: ___________________ Mother’s Email Address: ____________________ Father’s:_______________________________ ____ Infants ($190 weekly) ____Toddlers ($180 weekly) ____Two’s ($180 weekly) ____Pre-K 3 ($170 weekly) ____Mother’s Day Out ($130 weekly) ____ Before Care ($160 monthly) ____After Care ($160 monthly) ____ Before and After Care ($350 Monthly) _____ Summer Camp 2019 ($140 weekly) Bright Beginnings Owner/Director: Stacey Betz | 20000 Old Scenic Hwy Zachary, LA 70791 | Phone: 225.570.8062 | Email: [email protected] Webpage: www.brightbeginningscdc.com

Transcript of Bright Beginnings CDC, LLC - Home · Web viewAuthor Danielle Created Date 03/22/2019 07:52:00 Last...

Page 1: Bright Beginnings CDC, LLC - Home · Web viewAuthor Danielle Created Date 03/22/2019 07:52:00 Last modified by Pbnjtv25REC

Waiting List

Childs Name: ______________________________ DOB: __/__/____ Age: ___yr. ___ mo. Sex: M/F

Childs Name: ______________________________ DOB: __/__/____ Age: ___yr. ___ mo. Sex: M/F

Childs Name: ______________________________ DOB: __/__/____ Age: ___yr. ___ mo. Sex: M/F

Childs Name: ______________________________ DOB: __/__/____ Age: ___yr. ___ mo. Sex: M/F

Mother’s Name: ___________________________ Father’s Name: __________________________

Mother’s Home Phone: ____________________ Father’s Home Phone: ___________________

Mother’s Cell Phone: ______________________ Father’s Cell Phone: _____________________

Mother’s Work Phone: _____________________ Father’s Work Phone: ___________________

Mother’s Email Address: ____________________ Father’s:_______________________________

____ Infants ($190 weekly) ____Toddlers ($180 weekly)

____Two’s ($180 weekly) ____Pre-K 3 ($170 weekly)

____Mother’s Day Out ($130 weekly) ____ Before Care ($160 monthly)

____After Care ($160 monthly) ____ Before and After Care ($350 Monthly)

_____ Summer Camp 2019 ($140 weekly)

**Mother’s Day Out is a new program held from 9am-3pm daily following the ZCSD calendar, children must be potty-trained**

** Elementary Holiday Care will be held at BBCDC Zachary with limited enrollment**

Annual Registration Fee (per child): $100

Pay Date: __/__/____

Check #: _____ Cash: _____ Payment Taken By: ______________________________________

***Annual Registration Fee’s will be prorated for new families***

Bright Beginnings Owner/Director: Stacey Betz | 20000 Old Scenic Hwy Zachary, LA 70791 | Phone: 225.570.8062 |

Email: [email protected] Webpage: www.brightbeginningscdc.com