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Interest Inventory
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* Indicates required question
Email
*
Your email
How did you hear about Life Prep ELC?
*
Your answer
Child's Name & Current Age
*
Your answer
Child's Date of Birth
*
MM
/
DD
/
YYYY
Allergies?
Yes
No
Clear selection
Desired start date
*
MM
/
DD
/
YYYY
Parents Name, Address, Email and Phone Number
*
Your answer
Emergency Contact (Name, Number, Relationship) If you cant be reached.
*
Your answer
Choose Program Enrollment of Interest (prices are subject to change)
*
Emergent (2YO) $315
Emergent 3-Day (limited) $215/wk
Emergent 2-Day (limited) $175/wk
Intermediate & Advanced (3-5YO) $290/wk
Please choose a lunch option
Provide lunch for my child daily
Weekly Meal Plan $30
Monthly Meal Plan $100
PT 3-day $60 Monthly
PT 2-day $40 Monthly
Clear selection
Hours of Care Requested (9 hrs. max)
*
Your answer
Would you like to schedule a tour?
*
Schedule Your "Life Prep Tour" Here
https://outlook.office365.com/owa/calendar/LifePrep@mmeducational.onmicrosoft.com/bookings/
No
Already Toured
Tuition
*
Private Pay
Childcare Scholarship Program
I agree to the following:
Non-refundable registration fee $100 (secures enrollment)
Annual supply fee of $260
Prices are subject to increase.
*
I agree
Please describe any developmental concerns you may have. (i.e. behavior, communication/speech, developmental delays etc. )
*Please specify allergy here too.
*
Your answer
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