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Disclaimer

Completing this form does not ensure a childcare spot at Pipsy’s. This form is to request additional information. The enrollment process is as follows:

Complete the pre-enrollment form
Wait to receive paperwork via email
Complete and return all paperwork
Activate Brightwheel account
Pay deposit and confirm start date

Parent Information

Parent 1 Name *

Parent 1 Email *

Parent 1 Phone

Parent 2 Name

Parent 2 Email

Parent 2 Phone

Preferred Method of Contact:EmailText MessagePhone Call

Child/Children Information

Child 1 Name *

Child 1 Date of Birth *

Month

Day

Year

Child 2 Name

Child 2 Date of Birth

Month

Day

Year

Child 3 Name

Child 3 Date of Birth

Month

Day

Year

Child 4 Name

Child 4 Date of Birth

Month

Day

Year

Child 5 Name

Child 5 Date of Birth

Month

Day

Year

Program Information

Program Pricing

Wee Ones Nursery Care age 0 – 12 months: Full Time $315/week

Toddler Nursery age 12 – 24 months: Full Time $300/week

Main Room age 2 – 4 years old: Full Time $290/week

Kindergarten Prep age 4 – 5 years old: Full Time $280/week

Desired Start Date *

Month *

Day *

Year *

Program Options *Wee Ones Nursery Care age 0 – 12 monthsToddler Nursery age 12 – 24 monthsMain Room age 2 – 4 years oldKindergarten Prep age 4 – 5 years old

Additional Information and/or Questions

Pipsy's Wee Care and Pre School

PRE-ENROLLMENT

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Parent Information

Child/Children Information

Program Information

Events

Upcoming Events

May Kid’s Gonna Make Art Camp

Good Friday

May Kid’s Gonna Make Art Camp

Memorial Day

Independence Day

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Parent Information

Child/Children Information

Program Information

Events

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