Bumo Provider Profile Information Form

Facility Information

Please enter your facility information below.
Name of Your Facility*
Blurb about Your Center*
Facility Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Facility Main Phone Number*

Area CodePhone Number
Facility Main Email*
Assistant director email to also have access to licensing folder
example@example.com
What is your educational philosophy? (Check all that apply)*

Reggio EmiliaSoke EducationMontessoriPlay-basedBillingualTrilingualSTEMCognitive-BasedRIEWaldorfOther
Youngest Age Accepted (In Months)*
Oldest Age Accepted (in Months)*
Do you provide meals?*
Do you provide snacks?*
Check all that apply*

We require children to wear masks indoors.We require children to wear masks outdoors.We do wellness checks for children.Staff are fully vaccinated for COVIDStaff are tested regularly for COVID.
What apps do you use for parent connection?*
What do you use these apps for? (Choose all that apply)*

Sign-In/Sign-OutLive-updates in real-timeEnd-of-day updatesOther
What forms/contracts (aside from licensing forms) do you have your families complete? Please list and describe.*
What types of daily updates do you send parents? (Check all that apply)*

VideoPhotosIncident ReportsDevelopmental NotesNapping Details (Start/End Time)Diaper Check UpdatesNone. We do not send any updates throughout or at end of day.
Do you have an outdoor space?*
Is your staff tested regularly for COVID?*
Is potty training required? If so, for what age groups and do you help with potty training?*
What time is nap time? For what ages?*
Licensing Type(s)*

InfantToddlerPreschoolSchool-AgeLicense-Exempt
Name of Director*

First NameLast Name
Director Email*
Director Photo*

Cancelof
Director Bio*
Director Phone Number*

Area CodePhone Number
Infant Licensing Number*
Youngest Infant Age Accepted (In Months)*
Oldest Infant Age Accepted (In Months)*
Infant Total Capacity*
Infant Target Ratio*
Toddler Licensing Number*
Youngest Toddler Age Accepted (In Months)*
Oldeest Toddler Age Accepted (In Months)*
Toddler Total Capacity*
Toddler Target Ratio*
Preschool Licensing Number*
Youngest Preschool Age Accepted (In Months)*
Oldest Preschool Age Accepted (In Months)*
Preschool Total Capacity*
Preschool Target Ratio*
School-Age Licensing Number*
Youngest School-Age Accepted (In Months)*
Oldest School-Age Accepted (In Months)*
School-Age Total Capacity*
School-Age Target Ratio*
Youngest Age Accepted (In Months)*
Oldest Age Accepted (In Months)*
Total Capacity*
Target Ratio*
Owner Information

A description of the section goes here.
Name of Owner*

First NameLast Name
Owner Email*
Owner Phone Number*

Area CodePhone Number
Owner Home Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Other Notes/Comments
Should be Empty:

Facility Information

Owner Information