PART-TIME
2016-2017 APPLICATION
LADYBUGS
PROGRAM FOR CHILDREN AGES 13 MONTHS TO 19 MONTHS
The Ladybugs program is a YEAR-LONG program beginning Thursday, September 8, 2016 and
ending August 18, 2017.
YOU MAY CHOOSE ONE (1) to FOUR (4) DAYS OF ENROLLMENT; INFANT CARE IS
AVAILABLE FROM 7:30 A.M. TO 6:30 P.M.
Tuition is based on which days of the week your child attends.
IF YOUR CHILD ATTENDS ON A TUESDAY, WEDNESDAY OR THURSDAY, THE ANNUAL
TUITION IS $5,210 PER DAY.
IF YOUR CHILD ATTENDS ON A MONDAY OR A FRIDAY, THE ANNUAL TUITION IS $5,090
PER DAY.
PLEASE CIRCLE CHOICE OF DAYS
M
T
W
TH
F
Upon your child’s acceptance into the MMO LADYBUGS PROGRAM, a contract will be issued. Your
child’s space may ONLY be secured upon submission of the contract and NON-REFUNDABLE
DEPOSIT OF $500. (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 ______________________________________________________________________
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2016-17 MMO Programs Ladybugs Part-time Application
Page Two
SIBLINGS (names and ages) _________________________________________________________
PREVIOUS CHILD CARE EXPERIENCES (i.e. group child care, nanny, etc.)
IS CHILD A RETURNING PARTICIPANT IN MMO? (To be considered under Priority Registration)
Yes ___ No ___
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 ____________________________________