Preschool Center | Apply Online - Duxbury, MA | Pilgrim Child Care And Preschool

Application type (please check one): *

Term you are applying for (check ALL that apply): *

Summer Term (July & August)
Full Year (September- August)
School Year (September - June)

Child's Full Name: *

Child's date of birth: *

Home Phone: *

Street Address: *

City *

State *

Zip Code *

SUMMER Requested (check all that apply):

Monday
Tuesday
Wednesday
Thursday
Friday
1st Available

Summer # of days per week:

Half day (4 hours):

School day (7 hours):

Full day (10 hours):

Summer time frame comments:

Fall Requested (check all that apply):

Monday
Tuesday
Wednesday
Thursday
Friday
1st Available

Fall # of days per week

Half day (4 hours):

School day (7 hours):

Full day (10 hours):

FALL time frame comments:

Parent/guardian: *

Relationship to child: *

Work phone:

Cell phone:

2nd Parent/guardian:

Relationship to child:

Work phone:

Cell phone:

Family E-mail: *

New parents: How did you hear about us?

Please select one: Application or Registration Payment Option: *

Enrolled Families: Please invoice me for the $100 Registration fee. This application is not complete if not paid within 30 days.
Sibling: fee is waived.
Confirmation of summer schedule – no fee needed.

I understand this application is not complete if PCCP does not receive the $25 application fee which is deducted from the annual $100 fee when admitted (for new families) within 5 business days, a $25 fee for Summer Only applications within 5 days, or the annual $100 registration fee (for in-house families). Upon notification of an opening, space is not reserved without the required deposit. *

I understand that upon admission, a non-refundable tuition deposit is due within 48 hours and is not refundable for any reason *

Pilgrim Child Care & Preschool APPLICATION / REGISTRATION

Pilgrim Child Care & Preschool
APPLICATION / REGISTRATION