[vc_row][vc_column] Full and Part-Time Child Care 2020-2021 School Year Fields marked with an asterisk (*) are required. You may register up to three children using this form. Click YES below each section to add another child's info. Child's Name* First Last Birth Date* Month Day Year Expected Start Time* : Hours Minutes AM PM AM/PM Expected Pickup Time* : Hours Minutes AM PM AM/PM Children cannot attend SpringRose Childcare for longer than 10 hours per day. Please check the box next to your child’s age group as of August 24, 2020. Please select only ONE.FULL-TIME (Monday to Friday): INFANT CARE (6 weeks—1 year) / $279.00 per week YOUNG TODDLER (1-2 years) / $270.00 per week TODDLER (2-3 years) / $264.00 per week PRESCHOOL (3-5 years) / $242.00 per week BEFORE AND AFTER SCHOOL / $137.00 per week BEFORE SCHOOL ONLY / $105.00 per week AFTER SCHOOL ONLY / $105.00 per week PART-TIME (Monday-Wednesday-Friday): INFANT CARE (6 weeks—1 year) / $207.00 per week YOUNG TODDLER (1-2 years) / $203.00 per week TODDLER (2-3 years) / $198.00 per week PRESCHOOL (3-5 years) / $181.00 per week PART-TIME (Tuesday-Thursday): INFANT CARE (6 weeks—1 year) / $158.00 per week YOUNG TODDLER (1-2 years) / $154.00 per week TODDLER (2-3 years) / $150.00 per week PRESCHOOL (3-5 years) / $138.00 per week Need to register another already enrolled child?You many register up to three already enrolled children using this form Yes Child TwoChild's Name* First Last Birth Date* Month Day Year Expected Start Time* : Hours Minutes AM PM AM/PM Expected Pickup Time* : Hours Minutes AM PM AM/PM Children cannot attend SpringRose Childcare for longer than 10 hours per day. Please check the box next to your second child’s age group as of August 24, 2020. Please select only ONE.FULL-TIME (Monday to Friday): INFANT CARE (6 weeks—1 year) / $279.00 per week YOUNG TODDLER (1-2 years) / $270.00 per week TODDLER (2-3 years) / $264.00 per week PRESCHOOL (3-5 years) / $242.00 per week BEFORE AND AFTER SCHOOL / $137.00 per week BEFORE SCHOOL ONLY / $105.00 per week AFTER SCHOOL ONLY / $105.00 per week PART-TIME (Monday-Wednesday-Friday): INFANT CARE (6 weeks—1 year) / $207.00 per week YOUNG TODDLER (1-2 years) / $203.00 per week TODDLER (2-3 years) / $198.00 per week PRESCHOOL (3-5 years) / $181.00 per week PART-TIME (Tuesday-Thursday): INFANT CARE (6 weeks—1 year) / $158.00 per week YOUNG TODDLER (1-2 years) / $154.00 per week TODDLER (2-3 years) / $150.00 per week PRESCHOOL (3-5 years) / $138.00 per week Need to register another already enrolled child?You many register up to three already enrolled children using this form Yes Child ThreeChild's Name* First Last Birth Date* Month Day Year Expected Start Time* Hours : Minutes AM PM AM/PM Expected Pickup Time* : Hours Minutes AM PM AM/PM Children cannot attend SpringRose Childcare for longer than 10 hours per day. Please check the box next to your third child’s age group as of August 24, 2020. Please select only ONE.FULL-TIME (Monday to Friday): INFANT CARE (6 weeks—1 year) / $279.00 per week YOUNG TODDLER (1-2 years) / $270.00 per week TODDLER (2-3 years) / $264.00 per week PRESCHOOL (3-5 years) / $242.00 per week BEFORE AND AFTER SCHOOL / $137.00 per week BEFORE SCHOOL ONLY / $105.00 per week AFTER SCHOOL ONLY / $105.00 per week PART-TIME (Monday-Wednesday-Friday): INFANT CARE (6 weeks—1 year) / $207.00 per week YOUNG TODDLER (1-2 years) / $203.00 per week TODDLER (2-3 years) / $198.00 per week PRESCHOOL (3-5 years) / $181.00 per week PART-TIME (Tuesday-Thursday): INFANT CARE (6 weeks—1 year) / $158.00 per week YOUNG TODDLER (1-2 years) / $154.00 per week TODDLER (2-3 years) / $150.00 per week PRESCHOOL (3-5 years) / $138.00 per week Parent InfoParent/Guardian Name* First Last Parent/Guardian Phone*Parent/Guardian Email* Parent/Guardian Address* Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Δ [/vc_column][/vc_row]