After School Care Form 2023-24

Day Care Admission Form 2023-24
Post School Care - Expected Start Date

MonthDayYear
Date
Child's Name*

First NameLast Name
Birth Date*

MonthDayYear
Date
Gender*
Nationality*
Primary Email (we will use this email ID for all communication with you)*
example@example.com
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Parent's Information
Fathers Name*

First NameLast Name
Father's Email*
example@example.com
Mobile Number*
Please enter a valid phone number.
Mother's Name*

First NameLast Name
Mother's Email*
example@example.com
Mobile Number*
Please enter a valid phone number.
Please list down some points that can help us understand your child better

Fees for Daycare

Admission Fees : ₹ 4,000/- (One time)

Monthly (Per hour): ₹ 1,500/-

Daily (Per hour): ₹ 300/-
Your Day Care Requirement*

Monthly basisDaily basis
Mode of Payment*

UPI/GPay (Mobile # 9844079884)Bank TransferCash
I/We understand that school will take all necessary precautions to maintain safety of child, in case of any unfortunate event, school will not be responsible.*

YesNo
Declaration by Parents/Guardian
- Day care working hours are Monday to Friday, 12:00 pm to 5:00 pm.
- In a month if the child has used anything between a single day or all working days of the month, then the whole month charges will be applicable.
- Daycare facility if not at all used for the whole month (even for a single day) the same can be carried forwarded to the next quarter.
- The unused month can be carried forward for a maximum of 3 months only with prior email intimation to info@earlystartmontessori.org
- Day care fees are non-transferable.
- Day care facility in the mornings will be available during Montessori vacations only.
- Day care used on per-day basis will be charged hourly.
- Fees for day care during vacation will vary from the usual fees
Disclaimer:

The above information provided for my child is correct and if any information is found to be incorrect, the center has right to cancel the admission.

Under no circumstances, child will be given any medicine at the center, in case of any medical emergency, parents will be called to the center to attend it.

Due to current pandemic situation, if child is having even mild cold and cough, please refrain from sending the child to the center. In case if child is already at the center and cold/cough symptoms are noticed, the child will be sent home immediately. Requesting parents to cooperate.

By clicking the Submit button, I agree to the terms of service.
Date*

MonthDayYear
Date
Signature*
Should be Empty:

Day Care Admission Form 2023-24

Parent's Information