Application for Admission to Cambridgeport Children's Center
Note: Cambridgeport Children's Center does not discriminate on the basis of race, religion, cultural heritage, color, sex, sexual orientation, national origin, disability, political affiliation, or marital status. We do however; attempt to balance the Center by race, sex, age, and socio-economic background. That is why we ask for your child's race, and for your education and occupation

An initial application fee of $50 must be submitted to the center direction with this application to ensure your spot on the waiting list. Submit the application fee here: https://www.totlot.org/tuition-payment. Email carolyn@totlot.org with any questions.
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Email *
Child's Name *
Gender *
Date of Birth *
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Place of Birth
Applying for enrollment in *
Parent/ Guardian #1 Name
Phone Number *
Address *
Occupation *
Highest education level completed *
Parent Guardian #2 Name
Phone Number
Address
Occupation
Highest education level completed
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When would you like your child to start TotLot? *
How long do you expect your child to remain at TotLot? *
Please briefly describe your child's personality, habits, routines, likes, and dislikes. *
What other child care experience has your child had? *
How did you hear about TotLot? *
This is a family/staff run school. Family responsibilities to the co-op are necessary for our school to remain functional. Do you agree to be an active member of our family co-op? *
Family annual income *
Racial-Linguistic-Religious- and Cultural Background Information: *
Family Interests/ Hobbies/ Special Talents *
Whom does your child live with? *
Is there a non-custodial parent/ guardian who is part of your child's life? If so, please share any additional information. *
Preferred child rearing practices/ values/ beliefs *
Any additional information
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