Drop In Care / Enrollment | Little Blessings Academy

Application for Drop In Care

Parent/Guardian's First and Last Name *

Parent/ Guardian's Address *

Parent/Guardian's Phone Number *

Parent/Guardian's Email address *

1st Child's First and Last Name *

1st Child's Date of Birth *

2nd Child's First and Last Name

2nd Child's Date of Birth

3rd Child's First and Last Name

3rd Child's Date of Birth

4th Child's First and Last Name

4th Child's Date of Birth

You must schedule your child(ren)'s drop in a minimum of 2 hours prior to on Monday-Friday. You must complete all required paperwork and provide a health statement from your child(ren)'s pediatrician, their shot records and/or their exemption.

By clicking, I understand and agree to the Drop In terms.

Drop In rate is $40 per child per day. Payment is due upfront. *

By clicking, I understand and agree to the Drop In rates and when they are due.

Date(s) and Time(s) you need child care. *