FULL-TIME 2016 -2017 APPLICATION LADYBUGS PROGRAM FOR CHILDREN AGES 13 MONTHS TO 19 MONTHS Tuition for the full-time attendance (beginning September 8, 2016 and ending August 18, 2017) is $18,900. The hours of the full time program are Monday thru Friday 7:30 AM – 6:30 PM. PLEASE NOTE: THE LADYBUGS PROGRAM IS A YEAR-LONG PROGRAM BEGINNING MONDAY, SEPTEMBER 8, 2016 AND ENDING FRIDAY, AUGUST 18, 2017. Upon your child’s acceptance into the MMO CATERPILLAR PROGRAM, a contract will be issued. Your child’s space may ONLY be secured upon submission of the contract and NON-REFUNDABLE DEPOSIT OF $1500. (Note: Once deposit is received, the remaining Tuition is billed in twelve (12) equal monthly installments. CHILD’S NAME ______________________________________________________________________ PARENTS/GUARDIANS _______________________________________________________________ ADDRESS ____________________________________________________________________________ TOWN & ZIP _________________________________________________________________________ HOME PHONE ____________________________ CELL PHONE _____________________________ CHILD’S BIRTHDATE ______________________________________ GENDER: M F FAMILY E-MAIL ______________________________________________________________________ SIBLINGS (names and ages) _________________________________________________________ PREVIOUS CHILD CARE EXPERIENCES (child care, playgroup, etc) IS CHILD A RETURNING PARTICIPANT IN MMO? (To be considered under Priority Registration) Yes ___ No ___ (OVER) 2016-17 MMO Programs Ladybugs Full-time Application Page Two ARE YOU A MEMBER OF FIRST CONGREGATIONAL CHURCH? ____________________ HOW DID YOU HEAR ABOUT MMO PROGRAMS? __________________________________ _________________________________________________________________________________ Deadline for priority registration (Church members, returning children and their siblings) is January 20, 2016. Priority and open enrollment applications will be considered in the order they are received. Waiting lists remain active throughout the school year. Date: __________ ______________________________________________________________ Signature of person filing application *** Return this application form with the $75 NON-REFUNDABLE application processing fee. Applications returned without the application fee will not be considered. Please send application and fee to: MMO PROGRAMS 40 South Fullerton Avenue Montclair, NJ 07042 Phone: (973) 744-6521 Fax: (973) 744-8134 For Office Use Only: Date and time application and fee received ____________________________________