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 PreK (September 2022 - June 2023)
Free PreK (September 2022 - June 2023) with Subsidy
Free PreK (September 2023 - June 2024)
Free PreK (September 2023 - June 2024) with Subsidy
Early Head Start
Other
Enrollment Location
*
6355 Cardiff Street, Philadelphia, PA 19149
5828 Torresdale Avenue, Philadelphia, Pa 19135
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
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