Bright Little Scholars
Early Learning Center
Child's Name
*
First Name
Last Name
Date of Birth (DOB)
*
-
Month
-
Day
Year
Date
Child's Name
First Name
Last Name
Date of Birth (DOB)
-
Month
-
Day
Year
Date
Child's Name
First Name
Last Name
Date of Birth (DOB)
-
Month
-
Day
Year
Date
Additional Child's Names and Birth Dates
*
Child Care Schedule (Select All That Applies)
*
Monday
Tuesday
Wednesday
Thursday
Friday
Child Care Schedule (Select All That Applies)
*
6am
6:30am
7am
7:30am
8am
8:30am
9am
9:30am
10am
10:30am
11am
11:30am
12pm
12:30pm
1pm
1:30pm
2pm
2:30pm
3pm
3:30pm
4pm
4:30pm
5pm
5:30pm
6pm
Any Comments for the Child Care Schedule
*
List days and times
Please select one:
*
Private Pay
Subsidy (ELRC, CCAMPIS, DHS)
Free Kindergarten Readiness (September 2023 - June 2024)
Free Kindergarten Readiness (September 2023 - June 2024) with Subsidy
Free Kindergarten Readiness (September 2024 - June 2025)
Free Kindergarten Readiness (September 2024 - June 2025) with Subsidy
Summer Program
Other
Enrollment Location
*
6355 Cardiff Street, Philadelphia, PA 19149
5828 Torresdale Avenue, Philadelphia, PA 19135
404 E. Wyoming Avenue, Philadelphia, PA 10120
Any information you would like the director to know.
Enrolling Parent's Information
Name
*
First Name
Last Name
Phone Number
*
-
Area Code
Phone Number
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Email
*
example@example.com
Submit
Should be Empty: