Phone Number *
Phone Number *
2nd Emergency Name, Phone & Relationship-Optional
3rd Emergency Name, Phone & Relationship-Optional
Child's Physician Name and Phone Number *
For Other Option *
Explain Other Child's Health Information
8:30am-4:30pm (Weekly) 01 Week - $ 290.00 02 Weeks - $ 580.00 03 Weeks - $ 870.00 04 Weeks - $ 1,160.00 05 Weeks - $ 1,450.00 06 Weeks - $ 1,740.00 07 Weeks - $ 2,030.00 08 Weeks - $ 2,320.00 09 Weeks - $ 2,610.00 10 Weeks - $ 2,900.00
6:30am-4:30pm (Weekly) 01 Week - $ 300.00 02 Weeks - $ 600.00 03 Weeks - $ 900.00 04 Weeks - $ 1,200.00 05 Weeks - $ 1,500.00 06 Weeks - $ 1,800.00 07 Weeks - $ 2,100.00 08 Weeks - $ 2,400.00 09 Weeks - $ 2,700.00 10 Weeks - $ 3,000.00
8:30am-6:00pm (Weekly) 01 Week - $ 300.00 02 Weeks - $ 600.00 03 Weeks - $ 900.00 04 Weeks - $ 1,200.00 05 Weeks - $ 1,500.00 06 Weeks - $ 1,800.00 07 Weeks - $ 2,100.00 08 Weeks - $ 2,400.00 09 Weeks - $ 2,700.00 10 Weeks - $ 3,000.00
6:30am-6:00pm (Weekly) 01 Week - $ 320.00 02 Weeks - $ 640.00 03 Weeks - $ 960.00 04 Weeks - $ 1,280.00 05 Weeks - $ 1,600.00 06 Weeks - $ 1,920.00 07 Weeks - $ 2,240.00 08 Weeks - $ 2,560.00 09 Weeks - $ 2,880.00 10 Weeks - $ 3,200.00
For Other Option *
For Other Option *
For Other Option *
Note From Staff
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