APPLICATION 2021-2022 Infants-Pre-Kindergarten 12 Month Early Childhood Programs

Thank you for your interest in learning more about us. Please fill out the following form and we will get back to you as soon as possible. Please don’t hesitate to contact us if you have any questions, comments, or concerns. A member of our faculty will be happy to assist you with your needs.
  • MM slash DD slash YYYY
  • Enrollment Procedures:

    A non-refundable, $130 Admissions Fee per family is required with completed application. If space is not available when you apply for admission, you may submit a completed application and the non-refundable wait list fee of $30. The wait list fee is credited to the family’s admissions fee when a space is offered and the family enrolls in our program. After acceptance, secure an enrollment packet from the Director and return the following completed items to the center within three days of acceptance:: 1. Signed and initialed pages of the Enrollment Contract with ACH Debit Authorization Form with voided check. 2. Non-refundable Material Fees (listed on the Tuition Worksheet) are due along with a *$500 deposit by personal check or money order payable to Academy (*Deposit is refundable-if the child attends the new program at least one month and the director receives a one month written notice of withdrawal and there is no outstanding balance. There is no mid-month withdrawal. Full month tuition will be assessed). Tuition is due monthly on or before the first business day of the month. If you enroll mid-month, a pro-rated tuition charge will be due prior to the enrollment date.

    Academy welcomes children of all abilities to our program. If your child has a qualifying disability, including a special health need, that requires a special accommodation or modification, you must notify the Center Director in writing prior to your child’s start date. All required forms must be completed and on file one month prior to start date. Children will not be permitted to attend without a complete file.

    If space becomes available prior to your requested start date, monthly tuition payments will be required to hold the space.
    Academy has a non-discriminatory admissions policy. Our centers are open to all applicants without regard to race, creed, color, disability, gender, sexual orientation, or national origin. Enrollment is on a trial basis.
  • MM slash DD slash YYYY
  • Office Use Only:Admission Fee:$130 Ck#: Date: Staff Initial:
    Materials Fee:$ Ck#: Date: Program Requested
    Deposit:$ Ck#: Date: Wait List? Yes orNo Ck#: Date:
    Vouchers? Yes or No if yes select one of the following approved fee assistance programs (check one):
    MD CCSP MoCo WPA Military/DOD Child Care Assistance Program RequestedFEEA
    Voucher Amount: $ Monthly or Weekly

  • *7:30a.m-6:00p.m hours subject to change depending on county guidelines.

    Please select program requested by placing a check mark in the appropriate box below and then sign and date the bottom of the page. Program options are limited by group size and staff ratio requirements.
  • INFANTS/TODDLERS

    (AT LEAST 2 MONTHS OF AGE)

    HOURS
    8:30 a.m. - 5:30 p.m.
  • TINY TOTS/TWOS

    HOURS
    8:30 a.m. - 5:30 p.m.
  • PRESCHOOL

    (3 yrs. old by Sept.1-Child must be toilet trained.)
    HOURS
    8:30 a.m. – 5:30 p.m.
  • PREKINDERGARTEN

    (4 yrs. old by Sept.1)- 5 day only
    HOURS
    8:30 a.m. – 5:30 p.m.
  • Non-Refundable Fee Schedule

    Wait List Fee- $30
    Deposit- - $500 for 12 month programs
    Admissions Fee- $130
    Materials Fee- $250 M-F; (Infants-$80)
  • Additional drop-in time added to the regular schedule is based on $20 per hour with a 1hour mi
  • Drop-In Fees for Pre-registered Children:             Full Day
    INFANT/TODDLERS                                                             $100
    TINY TOTS                                                                            $90
    PS, PK                                                                                   $75
  • MM slash DD slash YYYY