Gallatin Gateway, GRCC Enrollment Inquiry
252 & 240 Jonathan Edwards Way, Gallatin Gateway, MT
Child's Name:
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First Name
Last Name
Date of Birth
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Month
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Day
Year
Date
Intended Enrollment Start Date
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Month
-
Day
Year
Date
Has your child been in childcare before?
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Yes
No
Does your child have any special needs (educational, medical, physical or psychological)? Please elaborate:
Guardian Information
Name
*
First Name
Last Name
Relationship
*
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Email
*
example@example.com
Employer
Program Choices
Please choose from the following options: (sibling discount rates available)
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Ages 6wks - 3yrs old: Full Time M-F : $1,250/Month
Ages 6wks-3yrs old: Full Time M-F Sibling
Ages 3yrs-5yrs old: Full Time M-F $1,150/Month
Ages 3yrs-5yrs old: Full Time M-F Sibling
All ages PT (2 to 3 days/wk with consistent schedule): $100/Day
All ages Drop-in: $25/hr
Hours of Operation are 7 am - 6 pm; Please indicate what days and times you are requesting. (Example: Monday, Wednesday, Friday 8 am - 5 pm)
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Submit
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