REGISTER:

We're delighted that you are interested in enrolling you child at the Play & Learn Center, where love and learning came together. Please complete the online application and we will be in touch with you within 24-48 hours to complete the enrollment process. Please feel free to contact us if you have any question.

CHILD'S INFORMATION:

Child's Name:

Date Of Birth: Sex:

Allergies or other medical restrictions:

MOTHER'S INFORMATION:

Mother's Name:

Home Telephone Number:

Cellphone Number:

Work Telephone Number:

Mother's Business Name:

Mother's Occupation:

Address #1:

Address #2:

City:

State: Zip:

FATHER'S INFORMATION:

Father's Name:

Home Telephone Number:

Cellphone Number:

Work Telephone Number:

Mother's Business Name:

Father's Occupation:

Address #1:

Address #2:

City:

State: Zip:

ADDITIONAL INFORMATION:

Child resides with:

EMERGENCY CONTACT LIST:

List the person(s) to contact if parents are unavailable

Name:

Relationship to child:

Phone Number:

Name:

Relationship to child:

Phone Number:

Name:

Relationship to child:

Phone Number:

Describe child's persolnality:
(Outgoing, Quiet, Nervous, etc.)

Describe any other important information we should know:

TYPE OF ENROLLEMNT

Indicate days of the week:

Indicate hours of the day:

FEES:

APPLICATION FEE:

Upon application, a non-refundable fee of $75.00 must be submitted. This fee is not applied to tuition.

SECURITY DEPOSIT:

Upon acceptance of an admission date, two weeks security deposit is due.

TUITION:

Tuition payments due the first week of the month.

CONTACT:

Play & Learn Daycare Center

66-06 70 Street,
Middle Village, NY
11379

We are open Monday-Friday
7:30 AM - 6:00 PM

Phone: (718) 894-0016

Fax: (718) 894-0031

Email: info@playlearncenter.com