Beansprouts Early Learning Childcare Center
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Registration Form
Please use this form to register with us to secure your place in our new school! Due to the high demand for our programs this is the best way to get your registration in so that we can reserve your spot.
Just fill out this simple form (you need 1 per child) and we will contact you within 48 hours to confirm your registration and schedule a tour.
If you have any questions please call us at 207-869-5474.
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Indicates required field
Your Name
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First
Last
Address
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Line 1
Line 2
City
State
Zip Code
Country
Email
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Phone Number
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How did you hear about us?
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Your Child's Name
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First
Last
Desired Start Date
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Gender
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Boy
Girl
Date of Birth
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xx/xx/xx
Desired Program
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Infant Program
Early Toddler
Toddler
Pre-School
Pre-Kindergarten
Choose One
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Full Time (4-5 days)
Part Time (1-3 days)
If part time, which days?
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example: Mon, Wed, Fri
Hours of care needed
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Example: 8am-4pm
Beansprouts Early Learning Childcare Center, Inc. reserves the right to determine enrollment capacity of families who receive assistance according to our financial needs. Beansprouts proudly takes part in the Aspire program as well as Transitional Services.
You do not need to pay anything to pre-register your child when submitting the form. However, there is a
$35 non-refundable pre-registration fee to actually secure your child’s spot in our new location,
which will reflect as a $35 credit applied to the $75 registration fee due upon completion of the enrollment packet.
For your convenience, you can pay the one-time pre-registration fee via PayPal by sending the payment to the following email address: info@beansproutsearlylearningchildcarecenter.com
Submit